ARISA KOYAMA LYSENG - NPI 1548810260 - Counselor in Eagan, MN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Arisa Koyama Lyseng NPPES

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

ARISA KOYAMA LYSENG (NPI 1548810260) is an individual mental health provider in Eagan, Minnesota, licensed in Minnesota (CC03768) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1548810260

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameARISA KOYAMA LYSENG

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

Mailing Address4660 Slater Rd Ste 120Eagan, MN 55122-4048 · (612) 441-3255

Phone(612) 441-3255

Sole ProprietorYes

Enumeration DateSeptember 14, 2019

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1548810260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · CC03768

4660 SLATER RD STE 120, Eagan, MN 55122

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Accepted Insurance

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

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)