ARISA KOYAMA LYSENG (NPI# 1548810260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548810260 |
| Entity Type | Individual |
| Full Name | ARISA KOYAMA LYSENG |
| Practice Address |
3801 W 50th St Ste 250b Minneapolis MN 55410-2070 |
| Practice Telephone | 6124009685 |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3801 W 50TH ST STE 250B |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55410-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769403 | Sarita M Tabor | Marriage & Family Therapist | 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2047 | 2019-06-17 |
| 1871103432 | Kristyn Sandra Stickley | Counselor | 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2070 | 2020-08-07 |
| 1467090563 | Jocelyne Collette | Counselor | 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2070 | 2019-12-19 |
| 1073163564 | Jacqueline Pena | Counselor | 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2070 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1396926077 | Julie Anne Hurtuhise | Occupational Therapist | 4516 Zenith Ave S, Minneapolis, MN 55410 | 2007-11-21 |
| 1063534634 | Pat Brendon Obrien | Chiropractor | 5049 France Ave S, Minneapolis, MN 55410 | 2007-04-04 |
| 1144322272 | Ted Marvin Beeman | Dentist | 2306 W 50th St, Minneapolis, MN 55410 | 2006-09-01 |
| 1306840848 | Rhondi L Miller | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2005-06-13 |
| 1063935732 | Caryn Herrick | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2017-07-25 |
| 1578858643 | David A. Cook, Dds, Pa | Dentist | 4999 France Ave S, Suite 230, Minneapolis, MN 55410 | 2011-06-16 |
| 1457682395 | Katrina Koller | Massage Therapist | 4049 Abbott Ave S, Minneapolis, MN 55410-1002 | 2010-01-15 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1578824330 | Stephens Psychological Services | Psychologist | 3829 Washburn Ave S, Minneapolis, MN 55410-1129 | 2012-06-07 |
| Find all providers in zip 55410 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| 1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
| 1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
| 1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
| 1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
| 1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55410 |
Please comment or provide details below to improve the information on ARISA KOYAMA LYSENG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.