LISA CARROLL (NPI# 1083083182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083083182 |
| Entity Type | Individual |
| Full Name | LISA CARROLL |
| Practice Address |
141 N Meramec Ave Suite 109 Clayton MO 63105-3750 |
| Mailing Address |
5533 Connecticut St Suite 109 Saint Louis MO 63139-1701 |
| Practice Telephone | 7739806962 |
| Mailing Telephone | 7733685956 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2013011413 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336662998 | Lisa Carroll | Physical Therapist | 7601 Imperial Hwy # 2149, Downey, CA 90242-3456 | 2017-07-25 |
| 1174989909 | Lisa Carroll | Early Intervention Provider Agency | 17 W 11th Rd, Broad Channel, NY 11693-1115 | 2016-01-09 |
| 1649381344 | Lisa Bertina Carroll | Dermatology | 2051 Hamill Road, Ste 301 A, Hixson, TN 37343 | 2006-08-31 |
| 1356332027 | Lisa A Carroll | Dermatology | 25 Lenfant Ct, Glen Mills, PA 19342-1668 | 2005-11-02 |
| 1194721548 | Lisa Carroll | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2005-06-21 |
| 1417456955 | Lisa Carroll | Dietitian, Registered | 525 S Washington St, Naperville, IL 60540-6749 | 2018-02-11 |
| 1316390586 | Lisa Marie Carroll | Social Worker | 17100 Euclid St, Fountain Valley Regional Hospital, Attn Social Services, Fountain Valley, CA 92708-4004 | 2016-07-22 |
| 1992174007 | Lisa Elizabeth Carroll | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2015-09-18 |
| 1386087112 | Lisa M Carroll | Obstetrics & Gynecology | 119 Hendersonville Rd, Asheville, NC 28803-2868 | 2013-04-11 |
| 1245504943 | Lisa D Carroll | Social Worker | 4647 Zion Ave, San Diego, CA 92120-2507 | 2012-02-28 |
| Street Address |
141 N MERAMEC AVE SUITE 109 |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437697216 | All About Play LLC | Social Worker | 141 N Meramec Ave, Suite 109, Clayton, MO 63105-3750 | 2017-02-01 |
| 1003212739 | Cristina Smugala | Counselor | 141 N Meramec Ave, Suite 109, Clayton, MO 63105-3750 | 2014-11-06 |
| 1780961839 | Mary Warner | Speech-Language Pathologist | 141 N Meramec Ave, Ste 110a, Clayton, MO 63105-3750 | 2011-11-03 |
| 1922382852 | Michelle M Ingram | Speech-Language Pathologist | 141 N Meramec Ave, Ste 110a, Clayton, MO 63105-3750 | 2011-10-11 |
| 1598062200 | Dennis Institute for Eating Disorders Psychotherapy, Inc. | Social Worker | 141 N Meramec Ave, Suite 305, Clayton, MO 63105-3750 | 2011-02-15 |
| 1225357783 | Gail H Nicholls | Specialist/Technologist | 141 N Meramec Ave, Ste 110a, Clayton, MO 63105-3750 | 2010-05-24 |
| 1790004257 | Mary M Alwes | Specialist/Technologist | 141 N Meramec Ave, Ste 110a, Clayton, MO 63105-3750 | 2010-05-24 |
| 1396064853 | Judy Lazerwitz | Specialist/Technologist | 141 N Meramec Ave, Ste 110a, Clayton, MO 63105-3750 | 2010-05-24 |
| 1700026978 | Robin L Turner | Specialist | 141 N Meramec Ave, Suite 208/209, Clayton, MO 63105-3750 | 2009-03-02 |
| 1346498102 | Robin Kishineff | Speech-Language Pathologist | 141 N Meramec Ave, Suite 110a, Clayton, MO 63105-3750 | 2008-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058711 | David Oliver | Counselor | 8000 Bonhomme Ave Ste 201d, Clayton, MO 63105-3515 | 2020-09-21 |
| 1306459060 | Misha Benavides Pelligreen | Counselor | 7556 Wydown Blvd Apt 2e, Clayton, MO 63105-2752 | 2020-08-24 |
| 1437781978 | Leigh H Gerard | Counselor | 225 S Meramec Ave # 721t, Clayton, MO 63105-3669 | 2020-02-12 |
| 1518516053 | Elise Marie Ringenberg | Counselor | 8000 Bonhomme Ave Ste 406, Clayton, MO 63105-3515 | 2019-09-07 |
| 1700446283 | Trinity Wellness, LLC | Counselor | 6365 Clayton Rd Fl 2, Clayton, MO 63117-1808 | 2019-06-18 |
| 1225527930 | Jason Duchinsky | Counselor | 141 N Meramec Ave Ste 10b, Clayton, MO 63105-3393 | 2018-05-08 |
| 1114436268 | Janice Rando | Counselor | 200 E Main St Ste 201, Clayton, NC 27520-2487 | 2017-09-20 |
| 1205356961 | Mckenzie Bossert | Counselor | 510 W Main St Ste 100, Clayton, NC 27520-1650 | 2017-06-23 |
| 1225572282 | Camille E. Neal | Counselor | 232 River Hills Dr, Clayton, NC 27527-5805 | 2016-12-10 |
| 1518416015 | Glenn Moore | Counselor | 9 Kindle Ct, Clayton, NJ 08312-2158 | 2016-09-25 |
| Find all providers in CLAYTON | ||||
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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.