SYNERGY ETHERAPY
NPI 1770120933
Psychologist - Clinical in Minneapolis, MN
About Synergy Etherapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYNERGY ETHERAPY (NPI 1770120933) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since December 2019. The organization lists Lisa Eileen Lovelace, Owner, Clinical Psychology, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Synergy Etherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Synergy Etherapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dr Lisa E-Therapy's NPI number?
The NPI number for Dr Lisa E-Therapy is 1770120933. It was assigned to this organization in the NPPES registry on December 6, 2019. The provider is doing business as Synergy Etherapy.
Where is Dr Lisa E-Therapy located?
Dr Lisa E-Therapy is located at 3539 Douglas Dr N, Minneapolis, MN 55422. The listed phone number is (612) 642-1355.
What is Dr Lisa E-Therapy's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Dr Lisa E-Therapy enrolled in Medicare?
Yes. Dr Lisa E-Therapy is registered in the Medicare PECOS enrollment system.
When is Dr Lisa E-Therapy's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dr Lisa E-Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Dr Lisa E-Therapy. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dr Lisa E-Therapy accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of South Carolina list Dr Lisa E-Therapy 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 Dr Lisa E-Therapy was last updated on November 3, 2021. 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.
# Synergy Etherapy · NPI 1770120933
Clinical organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since December 6, 2019.
## Identity
- **NPI:** 1770120933 (Entity type: Organization)
- **Enumerated:** December 6, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Legal business name:** Dr Lisa E-Therapy
- **Organization subpart:** No
- **Authorized official:** Lisa Lovelace, OWNER, CLINICAL PSYCHOLOGY
## Practice location
- **Address:** 3539 DOUGLAS DR N, Minneapolis, MN 55422-2415
- **Phone:** (612) 642-1355 · **Fax:** (612) 756-7059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1770120933) · Data from the CMS NPPES public registry.