Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306382007 Individual Practitioner Female Practitioner

Lisa Jo Lippold , MA, LPCC, LADC

Counselor - Professional • Minneapolis, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lisa Lippold, MA, LPCC, LADC is a certified Counselor - Professional practicing in Minneapolis, MN. With approximately 7 years of clinical experience since completing medical education in 2019, Lisa Lippold delivers high-quality medical care to the local community at 4027 COUNTY ROAD 25.

Lisa Lippold is affiliated with Fairview Express Care and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

4027 County Road 25

Minneapolis, MN 554162629

Telephone 6129256033
Fax 6129258496
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Minneapolis, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -3.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
328 Specialists

Practicing in Minneapolis, MN (2422 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lippold (7 Years) 7 Yrs
Minneapolis Specialty Average (10.8 Years) 10.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 3266

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MN 302394

Definition to come...

Hospital & Practice Group Affiliations

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Fairview Express Care

919 Northland Dr, Princeton, MN 553712172

Phone: 7633893344

Fairview Express Care

1575 Beam Ave, Maplewood, MN 551091126

Phone: 7635251746

Fairview Express Care

911 Northland Dr, Princeton, MN 553712172

Phone: 7633896353

Fairview Express Care

201 E Nicollet Blvd, Burnsville, MN 553375714

Phone: 9528922000

Fairview Express Care

5200 Fairview Blvd, Wyoming, MN 550928013

Phone: 6519827000

Fairview Express Care

5200 Fairview Blvd, Wyoming, MN 550928013

Phone: 6519827800

Fairview Express Care

6401 France Ave S, Edina, MN 554352104

Phone: 9529245000

Secondary Practice Locations

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 8666030016

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alex Hoyt , MSW, LICSW

Social Worker - Clinical

NPI 1003530734

Master of Social Work, Licensed Independent Clinical Social Worker

Dr. Diane Stellrecht , PhD, LP

Psychologist - Clinical

NPI 1013108075

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Sarah Najafalipour , MA, LPCC

Counselor - Professional

NPI 1013534817

Master of Arts, Licensed Professional Clinical Counselor

Leslie Wise , MS, LPCC

Counselor - Professional

NPI 1013615145

Master of Science, Licensed Professional Clinical Counselor

Breanna Freeborn , MA, LPCC

Counselor - Professional

NPI 1023533627

Master of Arts, Licensed Professional Clinical Counselor

James Moore , LP

Psychologist - Clinical

NPI 1033286489

Licensed Psychologist

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2024

Counselor (License #3266 in MN)

📍
Updated Practice Location December 22, 2023

Registered at 4027 COUNTY ROAD 25, MINNEAPOLIS, MN 554162629 (Tel: 6129256033)

📍
Updated Business Mailing Address December 22, 2023

Registered at 4240 PARK GLEN RD, ST LOUIS PARK, MN 554165427 (Tel: 6129256033)

👤
Provider Name / Credentials Updated December 22, 2023

Recorded as LISA LIPPOLD, MA, LPCC, LADC

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

Registered at 20333 ENRIGHT WAY, FARMINGTON, MN 550242022 (Tel: 6512388540)

📍
Updated Business Mailing Address January 18, 2017

Registered at 20333 ENRIGHT WAY, FARMINGTON, MN 550242022 (Tel: 6512388540)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as LISA LIPPOLD, LADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Counselor (License #302394 in MN)

🟢
Initial NPI Registration & Enumeration January 18, 2017

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: 1306382007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2017
Last Update: May 02, 2024
Sole Proprietor: No

Mailing Address

4240 Park Glen Rd

St Louis Park, MN 554165427

Phone: 6129256033

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.