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

Lisa Jo Lippold, MA, LPCC, LADC

Individual provider Professional Counselor · NPI 1306382007

Lisa Jo Lippold, MA, LPCC, LADC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

4027 County Road 25
Minneapolis, MN 55416-2629
Phone: (612) 925-6033
Fax: (612) 925-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 — (866) 603-0016

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3266 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302394 (MN)

Record details

NPI number1306382007
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC , LADC
Sole proprietorNo
NPI enumeratedJanuary 18, 2017
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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