MS. LISA MARIE ZIETLOW (MA LMFT) – Marriage & Family Therapist, NPI 1043302805

MS. LISA MARIE ZIETLOW (MA LMFT) is a healthcare provider. based in North st paul, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA LMFT. They hold a License No. 1441 (MN). The NPI Number for MS. LISA MARIE ZIETLOW (MA LMFT) is 1043302805

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA MARIE ZIETLOW (MA LMFT)
NPI
1043302805
Phone
(651) 769-6437
Address
2497 7TH AVE E
Enumeration Date
29 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517696500
Graduation Year
2002 (24 years ago)
PAC ID
3779927702
Group Practice PAC ID
3274504816
Professional Enrollment ID
I20240219001023
Address ID
MN553792666SH327XXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for MS. LISA MARIE ZIETLOW (MA LMFT)

  • 2497, 7th Avenue East, North Saint Paul, Ramsey County, Minnesota, 55109, United States

    SUITE 101

    NORTH ST PAUL, MN 551092496

    Phone: (651) 769-6437

    Fax: (651) 769-6426

    Type: Mailing

  • 7616, Currell Boulevard, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 290

    WOODBURY, MN 551258204

    Phone: (651) 769-6550

    Fax: (651) 769-6599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240219001023IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274504816View full group profile
NameSpecialtyState
-MN
Clinical Social WorkerMN
Physician AssistantAZ
P S Y C H I A T R YMN
Mental Health CounselorMN
Clinical Social WorkerMN
Nurse PractitionerMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What number should I use to identify MS. LISA MARIE ZIETLOW (MA LMFT) for billing?
Administrative and clinical systems typically use NPI 1043302805 for MS. LISA MARIE ZIETLOW (MA LMFT).
Is MS. LISA MARIE ZIETLOW (MA LMFT) currently accepting referrals based on NPI status?
Registry metadata lists MS. LISA MARIE ZIETLOW (MA LMFT) as active.
Which specialty label fits MS. LISA MARIE ZIETLOW (MA LMFT)?
NPPES ties MS. LISA MARIE ZIETLOW (MA LMFT) to Marriage & Family Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MS. LISA MARIE ZIETLOW (MA LMFT) in North St Paul, Minnesota?
For routing, start with North St Paul, Minnesota for MS. LISA MARIE ZIETLOW (MA LMFT), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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