LISA J TORBORG (PSY. D.) – Counseling Psychologist, NPI 1669585253

LISA J TORBORG (PSY. D.) is a healthcare provider. based in Waite park, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. LP4710 (MN). The NPI Number for LISA J TORBORG (PSY. D.) is 1669585253

Main info

Female
24 Years Of Experience
Name
LISA J TORBORG (PSY. D.)
NPI
1669585253
Phone
(320) 252-2976
Address
110 2ND ST S
Enumeration Date
16 August 2006
Last Update Date
30 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202510223
Graduation Year
2002 (24 years ago)
PAC ID
9436157203
Group Practice PAC ID
9638498538
Professional Enrollment ID
I20061110000366
Address ID
MN563014059SA1740XSTXX502
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

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for LISA J TORBORG (PSY. D.)

  • 110, 2nd Street South, Waite Park, Stearns County, Minnesota, 56387, United States

    SUITE 301

    WAITE PARK, MN 563871314

    Phone: (320) 252-2976

    Fax: (320) 656-1570

    Type: Location

  • 1740, West Saint Germain Street, Saint Cloud, Stearns County, Minnesota, 56301, United States

    SUITE 200

    SAINT CLOUD, MN 563014059

    Phone: (320) 251-0223

    Fax: (320) 251-0172

    Type: Mailing

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: 2006-11-10

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
I20061110000366IClinical 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.

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

Insurance plans in this area (ZIP 56387)

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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: 9638498538View full group profile
NameSpecialtyState
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA J TORBORG (PSY. D.)?
LISA J TORBORG (PSY. D.) — NPI 1669585253 — is the standard way to identify this listing.
Does CMS list LISA J TORBORG (PSY. D.) as active?
Yes — LISA J TORBORG (PSY. D.) is active in the NPI listing used on this page.
What is LISA J TORBORG (PSY. D.) best known for clinically?
Directory data describes LISA J TORBORG (PSY. D.) with Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for LISA J TORBORG (PSY. D.)?
LISA J TORBORG (PSY. D.)'s geographic hint is Waite Park, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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