MISS LISA MORTIE REYNOSO (MA, LPCC) – Mental Health Counselor, NPI 1861835829

MISS LISA MORTIE REYNOSO (MA, LPCC) is a healthcare provider. based in Coon rapids, Minnesota. specializing in Mental Health Counselor. They hold the professional credentials MA, LPCC. They hold a License No. 573 (MN). The NPI Number for MISS LISA MORTIE REYNOSO (MA, LPCC) is 1861835829

Main info

Female
Sole Proprietor
Name
MISS LISA MORTIE REYNOSO (MA, LPCC)
NPI
1861835829
Phone
(763) 464-7219
Address
12497 DRAKE ST NW
Enumeration Date
9 April 2013
Last Update Date
18 August 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MISS LISA MORTIE REYNOSO (MA, LPCC)

  • 12497 DRAKE ST NW

    COON RAPIDS, MN 554482095

    Phone: (763) 464-7219

    Type: Mailing

  • 630 E MAIN ST

    ANOKA, MN 553032527

    Phone: (763) 712-1903

    Fax: (763) 712-1917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 55448)

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Frequently asked questions

How do I look up MISS LISA MORTIE REYNOSO (MA, LPCC) by NPI?
Use NPI 1861835829 when you need to reference MISS LISA MORTIE REYNOSO (MA, LPCC) in forms, claims, or directories.
Is MISS LISA MORTIE REYNOSO (MA, LPCC) currently active in the NPI registry?
CMS-published data lists MISS LISA MORTIE REYNOSO (MA, LPCC) as an active registrant.
What kind of provider is MISS LISA MORTIE REYNOSO (MA, LPCC)?
The page reflects Mental Health Counselor for MISS LISA MORTIE REYNOSO (MA, LPCC). Clinical services aligned with this taxonomy classification.
Does MISS LISA MORTIE REYNOSO (MA, LPCC) practice in Minnesota?
You will see Coon Rapids, Minnesota on file for MISS LISA MORTIE REYNOSO (MA, LPCC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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