LISA MARIE JOHNSON PSYD, LMFT
NPI 1730360207
Psychologist - Family in Saint Paul, MN

Q: What is Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1730360207. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Q: What is Lisa Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Johnson was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 26, 2007PECOS Enrolled

1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104(651) 379-5157 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Marie Johnson Psyd, Lmft NPPES

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

LISA MARIE JOHNSON PSYD, LMFT (NPI 1730360207) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (LP5255) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1730360207

Entity TypeIndividualFemale

Primary Taxonomy103TF0000X

Provider Legal NameLISA MARIE JOHNSONCredential: PSYD, LMFT

Location Address1600 UNIVERSITY AVE W STE 12Saint Paul, MN 55104-3952

Mailing Address1600 University Ave W Ste 12Saint Paul, MN 55104-3952 · (651) 379-5157

Phone(651) 379-5157

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 26, 2007

Last NPPES UpdateJuly 13, 2022

NPPES CertifiedJuly 13, 2022

✔ NPI 1730360207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers

Taxonomy Code103TF0000X

License✔ Licensed in MN · LP5255

Definition

A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1711 (MN)

1600 UNIVERSITY AVE W STE 12, Saint Paul, MN 55104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 Marie Johnson Psyd, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870617061

PECOS Enrollment IDI20100824001258

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 20

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

KEN ROBINSON

Student in an Organized Health Care Education/Training Program