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DR. LISA SHARON SQUIRE PH.D., L.P.
NPI 1609872589
Psychologist - Clinical in Bloomington, MN

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
7800 METRO PKWY, STE 300, BLOOMINGTON, MN 55425(952) 854-2440(952) 854-2465 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Sharon Squire Ph.d., L.p. NPPES

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

DR. LISA SHARON SQUIRE PH.D., L.P. (NPI 1609872589) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (MNLP0204) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1609872589
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA SHARON SQUIRECredential: PH.D., L.P.
Location Address7800 METRO PKWY, STE 300Bloomington, MN 55425-1509
Mailing Address7800 Metro Pkwy, Ste 300Bloomington, MN 55425-1509 · (952) 854-2440 · Fax (952) 854-2465
Phone(952) 854-2440
Fax(952) 854-2465
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 24, 2005
Last NPPES UpdateDecember 1, 2015
✔ NPI 1609872589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · MNLP0204
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7800 METRO PKWY, Bloomington, MN 55425
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Other Names 1

Professional Name (2)Dr. Lisa S. Squire Phd Lp Phd Lp

Other Identifiers 1

Medicare PIN680001602MN

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 and accepts Medicare assignment

Dr. Lisa Sharon Squire Ph.d., L.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729122049
PECOS Enrollment IDI20100224000226
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 Lisa Squire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lisa S. Squire, Phd, LP, PA
Same address
Clinical
7800 METRO PKWY, SUITE 300
Bloomington, MN 55425
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1841529930 (952) 854-2440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

ROMELLE A. JOHNSON, CLINICAL PSYCHOLOGY, LLC
Psychologist
7800 METRO PKWY, SUITE 300
BLOOMINGTON, MN 55425
Hennepin County (952) 853-9919
MS. CAROLYNNE J MOFFAT LMFT
Marriage & Family Therapist
7800 METRO PKWY, SUITE 300
BLOOMINGTON, MN 55425
Hennepin County (651) 278-7607
JOHN SEXTON WALTERS L.AC.
Acupuncturist
7800 METRO PKWY, SUITE 300
BLOOMINGTON, MN 55425
Hennepin County (952) 767-4910
LINDA L NIELSEN LICSW
Social Worker (Clinical)
7800 METRO PKWY, SUITE 300
BLOOMINGTON, MN 55425
Hennepin County (612) 874-7488
ROBERTA RAE GUNTHER M.A., CCC-SLP
Speech-Language Pathologist
7800 METRO PKWY, SUITE 300
BLOOMINGTON, MN 55425
Hennepin County (952) 853-0046
GUARDIAN TRANSPORTATION INC
Non-emergency Medical Transport (VAN)
7800 METRO PKWY, SUITE 217
BLOOMINGTON, MN 55425
Hennepin County (952) 595-9030
RIVER SOURCE TRANSPORTATION
Non-emergency Medical Transport (VAN)
7800 METRO PKWY, #300
BLOOMINGTON, MN 55425
Hennepin County (952) 223-3773
MINNESOTA CLINICAL & NEUROPSYCHOLOGICAL ASSOCIATES, P.A.
Clinical Neuropsychologist
7800 METRO PKWY, SUITE 300
BLOOMINGTON, MN 55425
Hennepin County (952) 876-0727

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 Squire's NPI number?

The NPI number for Lisa Squire is 1609872589. It was assigned to this individual provider in the NPPES registry on June 24, 2005. The provider is also known as Dr. Lisa S. Squire Phd LP Phd LP.

Where is Lisa Squire located?

Lisa Squire practices at 7800 Metro Pkwy Ste 300, Bloomington, MN 55425. The listed phone number is (952) 854-2440.

What is Lisa Squire's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lisa Squire enrolled in Medicare?

Yes. Lisa Squire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Squire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Squire reassigns Medicare benefits to Lisa S. Squire, Phd, LP, PA (Bloomington, 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 Lisa Squire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Squire accept?

Health plans from HealthPartners list Lisa Squire 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 Squire was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.