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MISS LISA MORTIE REYNOSO MA, LPCC
NPI 1861835829
Counselor - Mental Health in Anoka, MN

Active since April 09, 2013
630 E MAIN ST, ANOKA, MN 55303(763) 712-1903(763) 712-1917 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Lisa Mortie Reynoso Ma, Lpcc NPPES

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

MISS LISA MORTIE REYNOSO MA, LPCC (NPI 1861835829) is an individual mental health provider in Anoka, Minnesota, licensed in Minnesota (573) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1861835829
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS LISA MORTIE REYNOSOCredential: MA, LPCC
Location Address630 E MAIN STAnoka, MN 55303-2527
Mailing Address12497 Drake St NwCoon Rapids, MN 55448-2095 · (763) 464-7219
Phone(763) 712-1903
Fax(763) 712-1917
Sole ProprietorYes
Enumeration DateApril 9, 2013
Last NPPES UpdateAugust 18, 2014
✔ NPI 1861835829 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 · 573
630 E MAIN ST, Anoka, MN 55303
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Other Names 1

Former Name (1)Lisa Mortie Ray Ma, Lpcc

Other Providers at the Same Location NPPES 6

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

JILL MARIA SCOTT ARNP
Nurse Practitioner (Psychiatric/Mental Health)
630 E MAIN ST
ANOKA, MN 55303
Anoka County (763) 712-1903
SARAH ELISABETH HALLER MA
Marriage & Family Therapist
630 E MAIN ST
ANOKA, MN 55303
Anoka County (763) 712-1903
OPTIOVILLAGE, INC
Community/Behavioral Health
630 E MAIN ST
ANOKA, MN 55303
Anoka County (763) 712-1903
MR. TRENTON JON PETERSON MA, LMFT, LADC
Marriage & Family Therapist
630 E MAIN ST
ANOKA, MN 55303
Anoka County (763) 712-1903
ASHLEY ELIZABETH DIMAS MA
Counselor (Mental Health)
630 E MAIN ST
ANOKA, MN 55303
Anoka County (763) 712-1903
GENUINE THERAPY CENTER
Community/Behavioral Health
630 E MAIN ST
ANOKA, MN 55303
Anoka County (763) 712-1903

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 Reynoso's NPI number?

The NPI number for Lisa Reynoso is 1861835829. It was assigned to this individual provider in the NPPES registry on April 9, 2013. The provider is also known as Lisa Mortie Ray Ma, Lpcc.

Where is Lisa Reynoso located?

Lisa Reynoso practices at 630 E Main St, Anoka, MN 55303. The listed phone number is (763) 712-1903.

What is Lisa Reynoso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Reynoso was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.