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Active NPI 1417386764 Individual Practitioner Female Practitioner

Lisa Perlock , LPCC

Counselor - Professional • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Lisa Perlock, LPCC is a registered healthcare professional specializing in Counselor - Professional in Eagan, MN. Practice services are available at 4660 SLATER RD STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4660 Slater Rd Ste 120

Eagan, MN 551224048

Telephone 9523885893
Fax 6122463682
Associated Practice Facility / Clinic
🏢 The Community Circle, Pllc Facility NPI 1043545189

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Eagan, MN (2422 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC00660

Definition to come...

Secondary Practice Locations

14300 Nicollet Ct Ste 130

Burnsville, MN 553063422

Phone: 9524358814

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Tina Shah , PsyD, LP

Psychologist - Clinical

NPI 1497991806

Doctor of Psychology (Psy.D.), Licensed Psychologist

NPI 1578235974

Licensed Professional Clinical Counselor

Lindsey Johnson , LMFT

Marriage & Family Therapist

NPI 1689812299

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 01, 2026

Registered at 4660 SLATER RD STE 120, EAGAN, MN 551224048 (Tel: 9523885893)

NPI Profile Active May 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2015

Registered at 14300 NICOLLET CT STE 130, BURNSVILLE, MN 553063422 (Tel: 9524358814)

📍
Updated Business Mailing Address May 15, 2015

Registered at 14300 NICOLLET CT, SUITE 130, BURNSVILLE, MN 553064501 (Tel: 9524358814)

👤
Provider Name / Credentials Updated May 15, 2015

Recorded as LISA PERLOCK, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2015

Counselor (License #CC00660 in MN)

🟢
Initial NPI Registration & Enumeration November 07, 2013

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: 1417386764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2013
Last Update: July 01, 2026
Sole Proprietor: Yes

Mailing Address

14300 Nicollet Ct, Suite 130

Burnsville, MN 553064501

Phone: 9524358814

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.