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KJIRSTEN LIPA LADC
NPI 1306447750
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since November 03, 2020PECOS Enrolled
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413(612) 286-1640 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kjirsten Lipa Ladc NPPES

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

KJIRSTEN LIPA LADC (NPI 1306447750) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (305431) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306447750
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKJIRSTEN LIPACredential: LADC
Location Address1404 CENTRAL AVE NEMinneapolis, MN 55413-1517
Mailing Address1404 Central Ave NeMinneapolis, MN 55413-1517 · (612) 286-1640
Phone(612) 286-1640
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1306447750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305431
1404 CENTRAL AVE NE, Minneapolis, MN 55413
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kjirsten Lipa Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385121813
PECOS Enrollment IDI20260127001269
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 Kjirsten Lipa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conscious Healing Counseling Inc
16 mi
Mental Health
2705 BUNKER LAKE BLVD NW STE 112
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 29 clinicians in this Medicare group
NPI 1366944597 (815) 973-0999

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.

ANNE THERESE KUBIK LADC
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 235-7378
ERIN MALKOW
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 205-4171
JOSH COGAN BS, LADC
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (651) 314-1146
LINDSEY ELLIS
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 286-0693
CHRIS HIRDLER
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 286-0946
PARIS PEDERSON LADC
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 871-7567
KEVIN HAM LADC
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 216-4345
JORDAN GAVIN HORNIAK BS, LADC
Counselor (Addiction (Substance Use Disorder))
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 594-8146

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 Kjirsten Lipa's NPI number?

The NPI number for Kjirsten Lipa is 1306447750. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Kjirsten Lipa located?

Kjirsten Lipa practices at 1404 Central Ave NE, Minneapolis, MN 55413. The listed phone number is (612) 286-1640.

What is Kjirsten Lipa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kjirsten Lipa enrolled in Medicare?

Yes. Kjirsten Lipa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kjirsten Lipa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kjirsten Lipa reassigns Medicare benefits to Conscious Healing Counseling Inc (Andover, 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 Kjirsten Lipa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kjirsten Lipa accept?

Health plans from HealthPartners list Kjirsten Lipa 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 Kjirsten Lipa was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.