MRS. LISA JOY DECATHELINEAU (LMFT) – Marriage & Family Therapist, NPI 1114086188

MRS. LISA JOY DECATHELINEAU (LMFT) is a healthcare provider. based in Appleton, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 1094 (MN). The NPI Number for MRS. LISA JOY DECATHELINEAU (LMFT) is 1114086188

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA JOY DECATHELINEAU (LMFT)
NPI
1114086188
Phone
(320) 235-4613
Address
220 230TH AVE NW
Enumeration Date
6 December 2006
Last Update Date
12 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
9133566458
Group Practice PAC ID
7618952565
Professional Enrollment ID
I20240322000688
Address ID
MN562081213AP323XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for MRS. LISA JOY DECATHELINEAU (LMFT)

  • 220 230TH AVE NW

    APPLETON, MN 562081828

    Phone: (320) 235-4613

    Fax: (320) 231-9140

    Type: Mailing

  • MN 7;MN 29, Montevideo, Chippewa County, Minnesota, 56265, United States

    MONTEVIDEO, MN 56265

    Phone: (320) 269-4581

    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: 2024-03-22

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
I20240322000688IMarriage 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 56208)

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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: 7618952565View full group profile
NameSpecialtyState
Mental Health CounselorMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family PracticeND
Clinical PsychologistMN
Hand Surgery, Orthopedic SurgeryMN
Nurse PractitionerMN
U R O L O G YND
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What federal number belongs to MRS. LISA JOY DECATHELINEAU (LMFT)?
The federal identifier for MRS. LISA JOY DECATHELINEAU (LMFT) is NPI 1114086188.
Is MRS. LISA JOY DECATHELINEAU (LMFT)'s NPI currently valid?
The extract we use shows MRS. LISA JOY DECATHELINEAU (LMFT) as active.
What kind of provider is MRS. LISA JOY DECATHELINEAU (LMFT)?
The page reflects Marriage & Family Therapist for MRS. LISA JOY DECATHELINEAU (LMFT). Clinical services aligned with this taxonomy classification.
Where is MRS. LISA JOY DECATHELINEAU (LMFT)'s primary listing?
We display Appleton, Minnesota because that is what the record indicates for MRS. LISA JOY DECATHELINEAU (LMFT).
How can I contact MRS. LISA JOY DECATHELINEAU (LMFT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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