LISA ELAINE LIVINGSTON MS, LPCC, LADC
NPI 1245706597
Counselor - Mental Health in Moorhead, MN

Active since October 15, 2018PECOS Enrolled
819 30TH AVE S STE 102, MOORHEAD, MN 56560(218) 979-3560(218) 284-1080 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2023, May 22, 2023, May 18, 2023 and 1 more (4 updates tracked since 2018).

About Lisa Elaine Livingston Ms, Lpcc, Ladc NPPES

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

LISA ELAINE LIVINGSTON MS, LPCC, LADC (NPI 1245706597) is an individual mental health provider in Moorhead, Minnesota, licensed in Minnesota (1663) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245706597
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA ELAINE LIVINGSTONCredential: MS, LPCC, LADC
Location Address819 30TH AVE S STE 102Moorhead, MN 56560-5000
Mailing Address819 30th Ave S Ste 102Moorhead, MN 56560-5000 · (218) 979-3560 · Fax (218) 284-1080
Fax(218) 284-1080
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 15, 2018
Last NPPES UpdateAugust 3, 20234 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1245706597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 1663
819 30TH AVE S STE 102, Moorhead, MN 56560

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Elaine Livingston Ms, Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638514896
PECOS Enrollment IDI20240227002960
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Livingston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
819 30TH AVE S STE 102
Moorhead, MN 56560
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Social Worker
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clinic/Center (Mental Health (Including Community Mental Health Center))
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560

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 Lisa Livingston's NPI number?

The NPI number for Lisa Livingston is 1245706597. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Lisa Livingston located?

Lisa Livingston practices at 819 30th Ave S Ste 102, Moorhead, MN 56560. The listed phone number is (218) 979-3560.

What is Lisa Livingston's specialty?

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

Is Lisa Livingston enrolled in Medicare?

Yes. Lisa Livingston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Livingston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Livingston reassigns Medicare benefits to Greater Minnesota Community Services (Moorhead, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Livingston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Livingston accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Lisa Livingston 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 Lisa Livingston was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.