Miss Lisa Mortie Reynoso, MA, LPCC - Counselor in Anoka, MN

Miss Lisa Mortie Reynoso, MA, LPCC is a Counselor - Mental Health based in Anoka, Minnesota. Miss Lisa Mortie Reynoso is licensed to practice in Minnesota (license number 573) and her current practice location is 630 E Main St, Anoka, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 712-1903.

NPI number for Miss Lisa Mortie Reynoso is 1861835829 and her current mailing address is 12497 Drake St Nw, Coon Rapids, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861835829.

Contact Information

Miss Lisa Mortie Reynoso, MA, LPCC
630 E Main St,
Anoka, MN 55303-2527
(763) 712-1903
(763) 712-1917

Map and Direction


Healthcare Provider's Profile

Full NameMiss Lisa Mortie Reynoso
GenderFemale
SpecialityCounselor - Mental Health
Location630 E Main St, Anoka, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861835829
  • Provider Enumeration Date: 04/09/2013
  • Last Update Date: 08/18/2014

Medical Identifiers

Medical identifiers for Miss Lisa Mortie Reynoso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861835829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 573 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Lisa Mortie Reynoso is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Lisa Mortie Reynoso, MA, LPCC
12497 Drake St Nw,
Coon Rapids, MN 55448-2095

Ph: (763) 464-7219
Miss Lisa Mortie Reynoso, MA, LPCC
630 E Main St,
Anoka, MN 55303-2527

Ph: (763) 712-1903

Reviews and Comments


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