Lisa R. Vanderveen-Nagel, MS, LPCC, LICSW
NPI 1538419551ActiveIndividual· Counselor, Professional· New Market, MN
Counselor, Professional (MS, LPCC, LICSW) with Secure Base Counseling Center LLC, practicing in New Market, Minnesota. Medicare paid $22,208 for services to 15 patients in 2024.
Overview
| NPI | 1538419551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPCC, LICSW |
| Sole proprietor | Yes |
| NPI issued | Sep 17, 2012 |
| Last updated in NPPES | Sep 1, 2021 |
| Certified by provider | Sep 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 375 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 276 across 5 procedure codes |
| Paid by Medicare | $22,208 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Secure Base Counseling Center LLCNorthfield, MN · 20 clinicians