LISA KINGSBURY MA, LPCC
NPI 1437698453
Counselor - Professional in Fridley, MN

Active since February 23, 2017PECOS Enrolled
1250 MOORE LAKE DR E STE 200-I, FRIDLEY, MN 55432(612) 568-8188 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Feb 23, 2017 (2 updates tracked since 2017).

About Lisa Kingsbury Ma, Lpcc NPPES

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

LISA KINGSBURY MA, LPCC (NPI 1437698453) is an individual professional provider in Fridley, Minnesota, licensed in Minnesota (CC01426) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437698453
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA KINGSBURYCredential: MA, LPCC
Location Address1250 MOORE LAKE DR E STE 200-IFridley, MN 55432-5134
Mailing Address3954 3rd Ave SMinneapolis, MN 55409-1609 · (612) 723-7343
Sole ProprietorYes
Enumeration DateFebruary 23, 2017
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1437698453 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 · CC01426
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1250 MOORE LAKE DR E STE 200-I, Fridley, MN 55432

Accepted 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 Kingsbury Ma, 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

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

Clinic/Center (Adult Mental Health)
1250 MOORE LAKE DR E STE 200-I
FRIDLEY, MN 55432

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 Kingsbury's NPI number?

The NPI number for Lisa Kingsbury is 1437698453. It was assigned to this individual provider in the NPPES registry on February 23, 2017.

Where is Lisa Kingsbury located?

Lisa Kingsbury practices at 1250 Moore Lake Dr E Ste 200-I, Fridley, MN 55432. The listed phone number is (612) 568-8188.

What is Lisa Kingsbury's specialty?

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

Is Lisa Kingsbury enrolled in Medicare?

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

What insurance does Lisa Kingsbury accept?

Health plans from HealthPartners list Lisa Kingsbury 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 Kingsbury was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.