LISA L STEVENSON (MS LPCC) – Mental Health Counselor, NPI 1366737520

LISA L STEVENSON (MS LPCC) is a healthcare provider. based in Burnsville, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS LPCC. They hold a License No. 687-6-1-11 (ND). The NPI Number for LISA L STEVENSON (MS LPCC) is 1366737520

Main info

Female
18 Years Of Experience
Name
LISA L STEVENSON (MS LPCC)
NPI
1366737520
Phone
(952) 898-5020
Address
14551 JUDICIAL RD STE 100
Enumeration Date
16 June 2011
Last Update Date
18 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528985020
Graduation Year
2008 (18 years ago)
PAC ID
2860831211
Group Practice PAC ID
8820994668
Professional Enrollment ID
I20240417003260
Address ID
MN553064991BU14551RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for LISA L STEVENSON (MS LPCC)

  • 14551 JUDICIAL RD STE 100

    BURNSVILLE, MN 553064991

    Phone: (952) 898-5020

    Type: Mailing

  • 1600 University Ave W

    Suite 3

    Saint Paul, MN 551043898

    Phone: (651) 757-3404

    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: 2024-04-17

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
I20240417003260IMental Health CounselorMNTBD

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 55306)

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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: 8820994668View full group profile
NameSpecialtyState
-MN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
-MN
Certified Clinical Nurse Specialist (Cns)MN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

Where can patients find LISA L STEVENSON (MS LPCC)'s NPI?
You can confirm LISA L STEVENSON (MS LPCC) with NPI 1366737520; it appears in the national provider directory.
Is LISA L STEVENSON (MS LPCC) currently active in the NPI registry?
CMS-published data lists LISA L STEVENSON (MS LPCC) as an active registrant.
What kind of provider is LISA L STEVENSON (MS LPCC)?
The page reflects Mental Health Counselor for LISA L STEVENSON (MS LPCC). Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA L STEVENSON (MS LPCC)?
The page summarizes Burnsville, Minnesota for LISA L STEVENSON (MS LPCC); expand the address list for detail.
Is LISA L STEVENSON (MS LPCC) a real provider?
This page reflects official NPPES data for NPI 1366737520. Always confirm identity and privileges with the practice and licensing boards.

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