Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koob Phong Lesang, LMFT

Individual provider Marriage & Family Therapist · NPI 1285370122

Koob Phong Lesang, LMFT is a Marriage and Family Therapist in Woodbury, Minnesota. Qualified in 2016, 10 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2022
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741
Phone: (651) 714-9646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3694 (MN)

Record details

NPI number1285370122
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Woodbury