LISA PERLOCK LPCC - NPI 1417386764 - Counselor in Eagan, MN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Lisa Perlock Lpcc NPPES

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

LISA PERLOCK LPCC (NPI 1417386764) is an individual professional provider in Eagan, Minnesota, licensed in Minnesota (CC00660) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burnsville.

NPPES Registry Identity

NPI1417386764

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA PERLOCKCredential: LPCC

Location Address4660 SLATER RD STE 120Eagan, MN 55122-4048

Mailing Address14300 Nicollet Ct, Suite 130Burnsville, MN 55306-4501 · (952) 435-8814

Phone(952) 388-5893

Fax(612) 246-3682

Sole ProprietorYes

Enumeration DateNovember 7, 2013

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1417386764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC00660

4660 SLATER RD STE 120, Eagan, MN 55122

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Secondary Practice Location 1

Location 114300 Nicollet Ct Ste 130Burnsville, MN 55306-3422 · Phone (952) 435-8814 · Fax (952) 435-7705

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Perlock Lpcc 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.

Other Providers at the Same Location NPPES 10

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

JAYNA LUNDGREN

Counselor (Mental Health)