Lisa Marie Johnson, PSYD, LMFT

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

LP5255 Issued in MN

Practice address

1600 University Ave W Ste 12
Saint Paul, MN 55104-3952

Phone

(651) 379-5157

NPI assigned

Nov 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Natalis Counseling and Psychology Solutions, P.a.Group PAC ID 5193756104, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  Medicare reassignment Care Compare group
• Counseling Psychologists of Woodbury, P.a.

  • Psychologist
  • Woodbury, MN
  • NPI 1659301398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1730360207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043952",
            "telephone_number": "651-379-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043952",
            "telephone_number": "651-379-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1711",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MN",
            "license": "LP5255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Joanna Johnson
• Kevin Johnson
• Kristen Sue Johnson, RN, LMFT
• Lauren Marie Johnson
• Lindsey Johnson
• Lucy Hamilton Johnson, RPH
• Marcie C Johnson, MSW, LICSW
• Margaret Elizabeth Johnson
• Martha Ann Johnson, M.A., CCC-SLP
• Matthew Johnson, BA, LADC

• Family Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.