LISA C KASTENBAUER LMFT
NPI 1801090055
Marriage & Family Therapist in Fridley, MN

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since June 12, 2007PECOS Enrolled

7362 UNIVERSITY AVE NE, 302, FRIDLEY, MN 55432(763) 572-8187(763) 572-2060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lisa C Kastenbauer Lmft NPPES

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

LISA C KASTENBAUER LMFT (NPI 1801090055) is an individual marriage & family therapist in Fridley, Minnesota, licensed in Minnesota (1311) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801090055

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLISA C KASTENBAUERCredential: LMFT

Location Address7362 UNIVERSITY AVE NE, 302Fridley, MN 55432-3142

Mailing Address7362 University Ave Ne, 302Fridley, MN 55432-3142 · (763) 572-8187 · Fax (763) 572-2060

Phone(763) 572-8187

Fax(763) 572-2060

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801090055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 1311

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

7362 UNIVERSITY AVE NE, Fridley, MN 55432

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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 C Kastenbauer Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193230134

PECOS Enrollment IDI20250717000911

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.