MRS. KYSA LORENC LUBOVICH LMFT
NPI 1396197117
Marriage & Family Therapist in Roseville, MN

Active since July 05, 2016PECOS Enrolled
1935 COUNTY ROAD B2 W STE 41, ROSEVILLE, MN 55113(612) 388-5897(651) 340-3237 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kysa Lorenc Lubovich Lmft NPPES

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

MRS. KYSA LORENC LUBOVICH LMFT (NPI 1396197117) is an individual marriage & family therapist in Roseville, Minnesota, licensed in Minnesota (3159) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakdale.

NPPES Registry Identity

NPI1396197117
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. KYSA LORENC LUBOVICHCredential: LMFT
Location Address1935 COUNTY ROAD B2 W STE 41Roseville, MN 55113-2788
Mailing Address7066 Stillwater Blvd NOakdale, MN 55128-3937 · (651) 401-3062 · Fax (651) 674-2534
Fax(651) 340-3237
Sole ProprietorNo
Enumeration DateJuly 5, 2016
Last NPPES UpdateMarch 20, 2018
NPI 1396197117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 3159
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1935 COUNTY ROAD B2 W STE 41, Roseville, MN 55113

Other Names 1

Former Name (1)Kysa Lorentz Hall

Secondary Practice Location 1

Location 17066 Stillwater Blvd NOakdale, MN 55128-3937 · Phone (651) 401-3062 · Fax (651) 674-2534

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kysa Lorenc Lubovich Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kysa Lubovich's NPI number?

The NPI number for Kysa Lubovich is 1396197117. It was assigned to this individual provider in the NPPES registry on July 5, 2016. The provider is also known as Kysa Lorentz Hall.

Where is Kysa Lubovich located?

Kysa Lubovich practices at 1935 County Road B2 W Ste 41, Roseville, MN 55113. The listed phone number is (612) 388-5897.

What is Kysa Lubovich's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kysa Lubovich enrolled in Medicare?

Yes. Kysa Lubovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kysa Lubovich was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.