MISS LISA ANN MCCORMIC (NPI# 1033402516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033402516 |
| Entity Type | Individual |
| Full Name | MISS LISA ANN MCCORMIC |
| Practice Address |
505 M St Rio Linda CA 95673-2218 |
| Mailing Address |
7107 Madison Ave Citrus Heights CA 95621-7304 |
| Practice Telephone | 9164735764 |
| Mailing Telephone | (707) 972-5939 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
505 M ST |
| City | RIO LINDA |
| State | CA |
| Zip Code | 95673-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474289 | Tara Leanne Reynolds | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-07-17 |
| 1851917686 | Unmol Joshi | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-06-17 |
| 1245861822 | Kimberly Michelle Waterman | Student in an Organized Health Care Education/Training Program | 505 M St, Rio Linda, CA 95673-2218 | 2020-01-31 |
| 1881234250 | Terri Annette Grace | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-01-13 |
| 1073157095 | Chong Neng Thao | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-11-02 |
| 1912541392 | Carnita Davenport | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-10-29 |
| 1619524899 | Katherine Remhof | Licensed Vocational Nurse | 505 M St, Rio Linda, CA 95673-2218 | 2019-08-21 |
| 1477105328 | Phillisha Love Story | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-07-11 |
| 1649736539 | Alexander Ransom | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-02-15 |
| 1255895728 | Shelby Nicole Scott | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124191630 | Tamara Juana Isaac Cooksey | Marriage & Family Therapist | 4545 9th Ave, Sacramento, CA 95673 | 2006-11-15 |
| 1316055825 | Michael Tang | Counselor | 7314 W 4th St, Rio Linda, CA 95673-1109 | 2006-08-25 |
| 1578109724 | Wayne Dupree Hunter Jr. | Non-emergency Medical Transport (VAN) | 424 Penn Central Ct, Rio Linda, CA 95673-1474 | 2019-11-22 |
| 1861045056 | James Lovefield | Counselor | 933 Quiet Way, Rio Linda, CA 95673-1520 | 2019-07-17 |
| 1467523829 | County of Sacramento | Clinic/Center | 1040 Q St, Rio Linda, CA 95673-1532 | 2006-11-10 |
| 1760935431 | Alan Hill | Marriage & Family Therapist | 6920 5th Ave, Rio Linda, CA 95673-2209 | 2016-07-29 |
| 1790796324 | Rio Linda Leader Drugs | Pharmacy | 402 M St, Rio Linda, CA 95673-2217 | 2006-08-10 |
| 1568599348 | Bevan Milton Richardson | Dentist | 851 Oak Ln, Rio Linda, CA 95673-2341 | 2007-02-27 |
| 1770085375 | Bevan Richardson | Clinic/Center | 851 Oak Ln, Rio Linda, CA 95673-2341 | 2018-02-28 |
| 1104358209 | Jamie Cantor | Behavior Technician | 7016 22nd St, Rio Linda, CA 95673-2718 | 2017-03-29 |
| Find all providers in zip 95673 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396256905 | Nicolette Natalia Smith | Counselor | 505 M St, Rio Linda, CA 95673-2218 | 2017-10-23 |
| 1891242632 | Daniel Lizardo | Counselor | 505 M St, Rio Linda, CA 95673 | 2016-09-09 |
| 1811444169 | Brysanna Penland | Counselor | 505 M St, Rio Linda, CA 95673-2218 | 2016-09-03 |
| 1164978748 | Amanda Spears | Counselor | 505 M St, Rio Linda, CA 95673-2218 | 2016-09-01 |
| 1295289817 | Congmeng Lee | Counselor | 505 M St, Rio Linda, CA 95673-2218 | 2016-08-11 |
| 1144671975 | Lynell Talley | Counselor | 505 M St, Rio Linda, CA 95673-2218 | 2016-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
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| 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.