LISANDRY MICHELLE HALEY ORTIZ LPCC
NPI 1922547454
Counselor - Professional in Minneapolis, MN

Active since February 16, 2017PECOS Enrolled
606 24TH AVE S STE 602, MINNEAPOLIS, MN 55454(952) 997-4192 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2024, Oct 5, 2021, Sep 11, 2019 and 1 more (4 updates tracked since 2017).

About Lisandry Michelle Haley Ortiz Lpcc NPPES

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

LISANDRY MICHELLE HALEY ORTIZ LPCC (NPI 1922547454) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (3032) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922547454
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISANDRY MICHELLE HALEY ORTIZCredential: LPCC
Location Address606 24TH AVE S STE 602Minneapolis, MN 55454-1438
Mailing Address6425 Nicollet AveRichfield, MN 55423-1675 · (612) 861-1675 · Fax (612) 861-3446
Sole ProprietorNo
Enumeration DateFebruary 16, 2017
Last NPPES UpdateDecember 30, 20244 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1922547454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · 3032✔ Licensed in MN · 02311
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
606 24TH AVE S STE 602, Minneapolis, MN 55454

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisandry Michelle Haley Ortiz Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisandry Haley Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Disorder Diagnostic
606 24TH AVE S
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
606 24TH AVE S STE 602
MINNEAPOLIS, MN 55454
Family Medicine (Addiction Medicine)
606 24TH AVE S STE 602
MINNEAPOLIS, MN 55454
Nurse Practitioner (Family)
606 24TH AVE S STE 602
MINNEAPOLIS, MN 55454
Obstetrics & Gynecology
606 24TH AVE S STE 602
MINNEAPOLIS, MN 55454

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 Lisandry Haley Ortiz's NPI number?

The NPI number for Lisandry Haley Ortiz is 1922547454. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Lisandry Haley Ortiz located?

Lisandry Haley Ortiz practices at 606 24th Ave S Ste 602, Minneapolis, MN 55454. The listed phone number is (952) 997-4192.

What is Lisandry Haley Ortiz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisandry Haley Ortiz enrolled in Medicare?

Yes. Lisandry Haley Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisandry Haley Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisandry Haley Ortiz reassigns Medicare benefits to Fairview Express Care (Minneapolis, 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 Lisandry Haley Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisandry Haley Ortiz accept?

Health plans from HealthPartners list Lisandry Haley Ortiz 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 Lisandry Haley Ortiz was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.