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

Lisa Watson, MDIV

Individual provider Marriage & Family Therapist · NPI 1407304314

Lisa Watson, MDIV is a Marriage and Family Therapist in St Louis Park, Minnesota. Qualified in 2017, 9 years ago. Practices with West End Therapy Clinic LLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2016
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Practice location Address checks out

5407 Excelsior Blvd Ste B
St Louis Park, MN 55416-2929
Phone: (612) 483-4994
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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

Record details

NPI number1407304314
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESSeptember 20, 2016

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice West End Therapy Clinic Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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