SUSAN MARIE HOISINGTON PSY.D.
NPI 1104974674
Psychologist - Addiction (Substance Use Disorder) in Forest Lake, MN

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
1068 LAKE ST S STE 109, FOREST LAKE, MN 55025(651) 982-4792(651) 982-6035 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, May 7, 2018, Apr 13, 2018 (3 updates tracked since 2018).

About Susan Marie Hoisington Psy.d. NPPES

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

SUSAN MARIE HOISINGTON PSY.D. (NPI 1104974674) is an individual addiction (substance use disorder) provider in Forest Lake, Minnesota, licensed in Minnesota (LP0881) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104974674
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameSUSAN MARIE HOISINGTONCredential: PSY.D.
Location Address1068 LAKE ST S STE 109Forest Lake, MN 55025-2633
Mailing Address1068 Lake St S Ste 109Forest Lake, MN 55025-2633 · (651) 982-4792 · Fax (651) 982-6035
Fax(651) 982-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1104974674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License Licensed in MN · LP0881
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
1068 LAKE ST S STE 109, Forest Lake, MN 55025

Other Identifiers 1

Medicaid1104974674MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Marie Hoisington Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163555798
PECOS Enrollment IDI20101101000438
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Social Worker
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Counselor (Professional)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Marriage & Family Therapist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Psychologist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Counselor (Professional)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Marriage & Family Therapist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Social Worker (Clinical)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025

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 Susan Hoisington's NPI number?

The NPI number for Susan Hoisington is 1104974674. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Susan Hoisington located?

Susan Hoisington practices at 1068 Lake St S Ste 109, Forest Lake, MN 55025. The listed phone number is (651) 982-4792.

What is Susan Hoisington's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Susan Hoisington enrolled in Medicare?

Yes. Susan Hoisington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Hoisington accept?

Health plans from HealthPartners list Susan Hoisington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Hoisington was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.