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

Mary E Justin, LPCC

Individual provider Professional Counselor · NPI 1457193708

Mary E Justin, LPCC is a Mental Health Counselor in Lakeville, Minnesota. Qualified in 2021, 5 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2024
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821
Phone: (952) 214-8959
Fax: (952) 214-8960
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5478

Record details

NPI number1457193708
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJune 8, 2024
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address364 Upper Wood Way, Burnsville, MN 55337-5730

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeville