LISA JO LIPPOLD MA, LPCC, LADC
NPI 1306382007
Counselor - Professional in Minneapolis, MN

Active since January 18, 2017PECOS EnrolledAccepts Medicare Assignment
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, Jan 18, 2017 (2 updates tracked since 2017).

About Lisa Jo Lippold Ma, Lpcc, Ladc NPPES

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

LISA JO LIPPOLD MA, LPCC, LADC (NPI 1306382007) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (3266) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306382007
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA JO LIPPOLDCredential: MA, LPCC, LADC
Location Address4027 COUNTY ROAD 25Minneapolis, MN 55416-2629
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Fax(612) 925-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 18, 2017
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1306382007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 3266
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302394 (MN)
4027 COUNTY ROAD 25, Minneapolis, MN 55416

Other Names 1

Former Name (1)Lisa Jo Dingman

Secondary Practice Location 1

Location 12925 Chicago AveMinneapolis, MN 55407-1321 · Phone (866) 603-0016

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Jo Lippold Ma, Lpcc, Ladc 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 ID8224481536
PECOS Enrollment IDI20240201003914
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 Reassignments

5

Medicare enrollment records show Lisa Lippold reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
3270 W LAKE ST
Minneapolis, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Family Medicine
6363 FRANCE AVE S, SUITE 103
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 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 20

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

Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

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 Lippold's NPI number?

The NPI number for Lisa Lippold is 1306382007. It was assigned to this individual provider in the NPPES registry on January 18, 2017. The provider is also known as Lisa Jo Dingman.

Where is Lisa Lippold located?

Lisa Lippold practices at 4027 County Road 25, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.

What is Lisa Lippold's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Lippold enrolled in Medicare?

Yes. Lisa Lippold 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.

Which organizations bill Medicare for Lisa Lippold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lippold reassigns Medicare benefits to 5 organizations: Allina Health System (Minneapolis, MN), Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Fairview Specialty Services (Minneapolis, MN) and Range Regional Health Services (Hibbing, MN). Each 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 Lippold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Lippold accept?

Health plans from Sanford Health Plan list Lisa Lippold 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 Lippold was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.