Lisa Carol Beckstrom, MA, CCC-SLP
NPI 1417019035ActiveIndividual· Speech-Language Pathologist· St Louis Park, MN
Speech-Language Pathologist (MA, CCC-SLP) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Medicare paid $6,146 for services to 55 patients in 2024.
Overview
| NPI | 1417019035 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 5642 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 93 across 2 procedure codes |
| Paid by Medicare | $6,146 |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
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