LISA L LADENDORFF (NPI# 1043239767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043239767 |
| Entity Type | Individual |
| Full Name | LISA L LADENDORFF |
| Credential | LCSW |
| Practice Address |
105 Fir St Suite 332 La Grande OR 97850-2661 |
| Mailing Address |
2708 N Ash St La Grande OR 97850-2733 |
| Practice Telephone | 5418055502 |
| Practice Fax Number | 5419635272 |
| Mailing Telephone | 5418055502 |
| Mailing Fax Number | 5419635272 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
L2326 | OR | Behavioral Health & Social Service Providers |
| Street Address |
105 FIR ST SUITE 332 |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154647774 | Barbara Tyler | Counselor | 105 Fir St, Suite 208, La Grande, OR 97850-2661 | 2010-04-08 |
| 1154561140 | F Thacher Carter Psyd PC | Psychologist | 105 Fir St, Suite 332, La Grande, OR 97850-2661 | 2009-03-03 |
| 1700024668 | Transire, LLC | Social Worker | 105 Fir St, Suite 332, La Grande, OR 97850-2661 | 2009-01-30 |
| 1245496157 | Frederick Thacher Carter | Psychologist | 105 Fir St, Suite 332, La Grande, OR 97850-2661 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178681 | Rikki A Griffin | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2020-03-06 |
| 1780229922 | Crystal M Hovanes | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2019-11-12 |
| 1437617693 | Nickole Diane Longend | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2019-03-06 |
| 1487129748 | Kathryn Lynn Andrew | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2018-10-12 |
| 1215411202 | Quenton Bo-rashard Goodwin | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2018-09-17 |
| 1821536632 | Megan Petersen | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2017-02-01 |
| 1811445075 | Missi Brown | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2016-09-16 |
| 1184179442 | Teresa Dowdy | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2016-08-16 |
| 1467802306 | Caitlin Ecklund | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2016-06-21 |
| 1609236959 | Dennis Mccay | Counselor | 2301 Cove Ave, La Grande, OR 97850-3906 | 2016-02-29 |
| Find all providers in LA GRANDE | ||||
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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.