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LINDSAY LILLSTROM
NPI 1063936144
Counselor - Mental Health in Minneapolis, MN

Active since July 31, 2017Opted out of Medicare · through Jun 23, 2027
321 W 48TH ST, MINNEAPOLIS, MN 55419(541) 801-3413 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Jul 21, 2022, Jul 31, 2017 (3 updates tracked since 2017).

About Lindsay Lillstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDSAY LILLSTROM (NPI 1063936144) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since July 2017. She has opted out of Medicare through June 23, 2027.

NPPES Registry Identity

NPI1063936144
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLINDSAY LILLSTROM
Location Address321 W 48TH STMinneapolis, MN 55419-5417
Mailing Address11606 Minnetonka Mills RdHopkins, MN 55305-5158 · (541) 801-3413
Phone(541) 801-3413
Sole ProprietorYes
Enumeration DateJuly 31, 2017
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1063936144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
321 W 48TH ST, Minneapolis, MN 55419
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lindsay Lillstrom has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2025 through June 23, 2027.

Opt-Out Effective DateJune 23, 2025
Opt-Out In Effect ThroughJune 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELE RENEE DC
Chiropractor
321 W 48TH ST
MINNEAPOLIS, MN 55419
Hennepin County (612) 823-0555
BRIANNA KATHLEEN MERRY DUNBAR MA LAMFT
Marriage & Family Therapist
321 W 48TH ST
MINNEAPOLIS, MN 55419
Hennepin County (612) 747-7114
WAVELENGTHS NW LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
321 W 48TH ST
MINNEAPOLIS, MN 55419
Hennepin County (541) 801-3413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lindsay Lillstrom's NPI number?

The NPI number for Lindsay Lillstrom is 1063936144. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Lindsay Lillstrom located?

Lindsay Lillstrom practices at 321 W 48th St, Minneapolis, MN 55419. The listed phone number is (541) 801-3413.

What is Lindsay Lillstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lindsay Lillstrom enrolled in Medicare?

No. Lindsay Lillstrom has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lindsay Lillstrom was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.