Individual provider Active NPI

Lisa D. Cross, MA, LMFT

  • Marriage & Family Therapist
  • Maple Grove, MN
National Provider Identifier
1871519397
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1359 Issued in MN
Practice address
7270 Forestview LN N
Suite 150
Maple Grove, MN 55369-5546
Phone
(763) 416-4167
Fax
(763) 416-4137
NPI assigned
Jul 15, 2006
Last updated
Jul 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1359 MN Primary

Addresses

Primary practice location

7270 Forestview LN N
Suite 150
Maple Grove, MN 55369-5546

Mailing address

7270 Forestview LN N
Suite 150
Maple Grove, MN 55369-5546
Phone (763) 416-4167

Other identifiers 1

IdentifierTypeStateIssuer
397152000MedicaidMN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240401002476 MN Practitioner - Marriage and Family Therapist 8325486061 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1358MNMDClinical Social Worker
1359MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Therapy Services LLC CurrentSince Sep 8, 2025 Accepting new patients
Vantage Mental Health CurrentSince Sep 8, 2025 Accepting new patients
St. Croix Psychiatric, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Collaborative Psychiatric Services LLC PastSince Mar 22, 2024 Accepting new patients
Innovative Psychological Consultants, LLC Past Accepting new patients

Locations

9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800

2855 Anthony Ln S
Ste 201
St Anthony, MN 55418
Phone (651) 217-1480

5995 Oren Ave N
Ste 203
Stillwater, MN 55082
Phone (651) 217-1480

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1871519397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 FORESTVIEW LN N",
            "address_2": "SUITE 150",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695546",
            "telephone_number": "763-416-4167",
            "fax_number": "763-416-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 FORESTVIEW LN N",
            "address_2": "SUITE 150",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695546",
            "telephone_number": "763-416-4167",
            "fax_number": "763-416-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "LISA",
        "middle_name": "D.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397152000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.