Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023174638 Individual Practitioner Female Practitioner

Lisa Marie Fedora , MA, LP

Psychologist • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Fedora, MA, LP is a certified Psychologist practicing in Duluth, MN. With approximately 30 years of clinical experience since completing medical education in 1996, Lisa Fedora delivers high-quality medical care to the local community at 11 E SUPERIOR ST STE 415.

Lisa Fedora is affiliated with Arrowhead Psychological Clinic, P.A. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11 E Superior St Ste 415

Duluth, MN 558023008

Telephone 2182490595
Fax 2184613666
Associated Practice Facility / Clinic
🏢 Duluth Counseling Center Facility NPI 1679815823

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Duluth, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +5.8 yrs vs City Avg
City Avg: 24.2 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
70 Specialists

Practicing in Duluth, MN (1833 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fedora (30 Years) 30 Yrs
Duluth Specialty Average (24.2 Years) 24.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-03-29
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP4660

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Arrowhead Psychological Clinic, P.a.

715 E Central Entrance, Duluth, MN 558115596

Phone: 2187238153

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Emily Lundgren , LICSW

Social Worker - Clinical

NPI 1003596388

Licensed Independent Clinical Social Worker

NPI 1033552146

Licensed Professional Clinical Counselor

Ina Newton , LICSW

Social Worker - Clinical

NPI 1043936875

Licensed Independent Clinical Social Worker

Karie Kroon

Social Worker - Clinical

NPI 1366853442
Marina Fujimoto

Counselor - Mental Health

NPI 1417746272
Stephanie Leahy

Counselor - Mental Health

NPI 1689286163

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 29, 2023

Registered at 11 E SUPERIOR ST STE 415, DULUTH, MN 558023008 (Tel: 2182490595)

📍
Updated Business Mailing Address March 29, 2023

Registered at 11 E SUPERIOR ST STE 415, DULUTH, MN 558023008 (Tel: 2182490595)

📍
Updated Practice Location September 15, 2018

Registered at 1420 LONDON RD STE 204, DULUTH, MN 558052422 (Tel: 2182490595)

📍
Updated Business Mailing Address September 15, 2018

Registered at 1420 LONDON RD STE 204, DULUTH, MN 558052422 (Tel: 2182490595)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4000 W 9TH ST, DULUTH, MN 558071563 (Tel: 2186252669)

📍
Updated Business Mailing Address July 08, 2007

Registered at 651 EVERETT ST, DULUTH, MN 558032104 (Tel: 2185253590)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LISA FEDORA, M.A., L.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP4660 in MN)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023174638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: March 29, 2023
Sole Proprietor: No

Mailing Address

11 E Superior St Ste 415

Duluth, MN 558023008

Phone: 2182490595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.