DR. LISA CHARLEEN COWLEY (PSYD, LP) – Clinical Psychologist, NPI 1366479347

DR. LISA CHARLEEN COWLEY (PSYD, LP) is a healthcare provider. based in Saint paul, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD, LP. They hold a License No. LP4682 (MN). The NPI Number for DR. LISA CHARLEEN COWLEY (PSYD, LP) is 1366479347

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA CHARLEEN COWLEY (PSYD, LP)
NPI
1366479347
Phone
(651) 227-6551
Address
UFP BETHESDA CLINIC
Enumeration Date
27 June 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
6507879103
Group Practice PAC ID
3779633912
Professional Enrollment ID
I20060727000204
Address ID
MN551141902SA2550XWXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DR. LISA CHARLEEN COWLEY (PSYD, LP)

  • UFP BETHESDA CLINIC

    580 RICE STREET

    SAINT PAUL, MN 55103

    Phone: (651) 227-6551

    Fax: (651) 665-0684

    Mailing address matches the actual address.

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: 2006-07-27

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
I20060727000204IClinical PsychologistMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes15821$0
90834Psychotherapy, 45 minutes10715$0
90791Psychiatric diagnostic evaluation1413$0
View full utilization report →

Insurance plans in this area (ZIP 55103)

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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: 3779633912View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Clinical Social WorkerMN
Certified Clinical Nurse Specialist (Cns)MN
Clinical Social WorkerMN
Nurse PractitionerMN
Nurse PractitionerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is DR. LISA CHARLEEN COWLEY (PSYD, LP) listed with a National Provider Identifier?
Yes — DR. LISA CHARLEEN COWLEY (PSYD, LP) has NPI 1366479347 on file in the registry.
Active or inactive — what applies to DR. LISA CHARLEEN COWLEY (PSYD, LP)?
You should see DR. LISA CHARLEEN COWLEY (PSYD, LP) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. LISA CHARLEEN COWLEY (PSYD, LP)?
At a glance, DR. LISA CHARLEEN COWLEY (PSYD, LP) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LISA CHARLEEN COWLEY (PSYD, LP)?
Travel planning: use Saint Paul, Minnesota as the reference point for DR. LISA CHARLEEN COWLEY (PSYD, LP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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