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

MS. Lisa Moen, MA

Individual provider Mental Health Counselor · NPI 1578080743

MS. Lisa Moen, MA is a Clinical Psychologist in Anoka, Minnesota. Qualified in 2018, 8 years ago. Practices with Family Innovations Inc, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
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.

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Practice location Address checks out

1833 3rd Ave
Anoka, MN 55303-2424
Phone: (763) 421-5535
Fax: (763) 433-0226
Show map & directions

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

Additional practice locations (1)

  • 7525 Mitchell Rd Ste 100, Eden Prairie, MN 55344-1900 — (952) 224-2282

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6538 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1578080743
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address7525 Mitchell Rd Ste 100, Eden Prairie, MN 55344-1900

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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