Lindsey Marie Lilly, PHD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP6638 Issued in MN

Practice address

1111 28TH St NE
Austin, MN 55912-6410

Phone

(507) 434-4417

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lindsey Lilly

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stewartville, MN
  • NPI 1376129007
  NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1801483615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 28TH ST NE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559126410",
            "telephone_number": "507-434-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 28TH ST NE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559126410",
            "telephone_number": "507-434-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Lewis
• Vernon M Lewis, PH.D.,L.P.
• McKenna Elizabeth Leyk, PT
• LGC Services Quality Case Management
• Patricia Marie Lienau, OTR
• Thomas Giju Lim, MD
• Casey Lind
• Jennifer Ann Linnett, LPCC
• Angela Mary Loecke, PHD
• Damien W Londino-Green

• Psychologist in Austin, MN
• Providers in Austin, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.