LISA J BILDEAUX MA LPCC NPI 1720699077

NPI Information

  • NPI: 1720699077
  • Provider Name: LISA J BILDEAUX, MA, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 516 S POKEGAMA AVE
    GRAND RAPIDS, MN
    ZIP 55744
  • Phone: (218) 327-2001

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NPI Details

Lisa J Bildeaux, MA, LPCC is a mental health counselor in Grand Rapids, MN with 8 years of experience. Lisa J Bildeaux, MA, LPCC NPI is 1720699077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 S POKEGAMA AVE
GRAND RAPIDS, MN
ZIP 55744-800
Phone: (218) 327-2001

The NPI 1720699077 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 11/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2561MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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