LISA DORN (NPI# 1144604216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144604216 |
| Entity Type | Individual |
| Full Name | LISA DORN |
| Credential | LPC |
| Practice Address |
2925 Mondovi Rd Eau Claire WI 54701-6141 |
| Practice Telephone | 7158320238 |
| Practice Fax Number | 7158320771 |
| Mailing Telephone | 7158320238 |
| Mailing Fax Number | 7158320771 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5194-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2925 MONDOVI RD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669544649 | Jeni Lyn Gronemus | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2006-11-14 |
| 1942815279 | Jill M. Bladl | Marriage & Family Therapist | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2020-09-14 |
| 1780240184 | Alexa Evon Demoe | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2019-05-13 |
| 1013458553 | Jason Bryant | Social Worker | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2017-03-16 |
| 1689113938 | Rian Marie Rahm | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701 | 2017-02-20 |
| 1164973970 | Karissa Meyer | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701 | 2016-10-17 |
| 1184172686 | Crystal M Bryant | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2016-09-14 |
| 1609293927 | Honna Pilz | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2014-03-25 |
| 1396176129 | John Wagenknecht Jr. | Social Worker | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2013-12-04 |
| 1831529742 | Bridget Wampole | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884063 | Keesha Mckee | Counselor | 7450 Hochberger Road, Eau Claire, MI 49111 | 2019-07-30 |
| 1033693312 | Leslie J Cole | Counselor | 3610 Oakwood Mall Dr Ste 104, Eau Claire, WI 54701-9084 | 2018-09-21 |
| 1982118550 | Amy Des Forge | Counselor | 3132 Orange St, Eau Claire, WI 54701-8137 | 2017-11-18 |
| 1194133470 | Jennifer L Van Sleet | Counselor | 2620 Stein Blvd Ste B, Eau Claire, WI 54701-2674 | 2014-07-30 |
| 1144565284 | Leeann Rochelle Gumulauskas | Counselor | 505 S Dewey St Ste 208, Eau Claire, WI 54701-3781 | 2012-11-29 |
| 1053682047 | Amy E Sexton | Counselor | 4714 Commerce Valley Rd Ste B, Eau Claire, WI 54701-9033 | 2012-01-23 |
| 1932263472 | Roberta Ellen Swain | Counselor | W3024 Rim Rock Rd, Eau Claire, WI 54701-8631 | 2006-12-20 |
| 1669544649 | Jeni Lyn Gronemus | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2006-11-14 |
| 1689745473 | Darryl L Christianson | Counselor | 221 W Madison St, Eau Claire, WI 54703 | 2006-11-13 |
| 1902812753 | Philip A Koestler | Counselor | 3119 Golf Rd, Eau Claire, WI 54701-7006 | 2006-08-01 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on LISA DORN.
| 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.