MISS LISA MARIE ANDERSON (NPI# 1154599611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599611 |
| Entity Type | Individual |
| Full Name | MISS LISA MARIE ANDERSON |
| Credential | MA |
| Practice Address |
1660 Highway 100 S Parkdale Palza #430 Minneapolis MN 55416-1529 |
| Practice Telephone | 9522249679 |
| Mailing Telephone | 9522249679 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889706 | Lisa Marie Anderson | Occupational Therapy Assistant | 5269 Green Valley Dr, Clarence, NY 14031-1231 | 2020-01-03 |
| 1063991263 | Lisa Anderson | Licensed Vocational Nurse | 213 Pryor St, Rusk, TX 75785-9206 | 2018-08-08 |
| 1780182840 | Lisa Anderson | Licensed Practical Nurse | 4383 Devonshire Rd, Detroit, MI 48224-3637 | 2018-01-24 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1760937973 | Lisa Anderson | Occupational Therapist | 341 Mackenzie Dr, Camano Island, WA 98282-8743 | 2016-08-17 |
| 1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
| 1780053371 | Lisa Anderson | Speech-Language Pathologist | 41750 Carthage Rd, Ravenna, NE 68869-4051 | 2015-09-24 |
| 1982959508 | Lisa Marie Anderson | Specialist | 4 Cherry Pl, Staten Island, NY 10314-6912 | 2012-07-19 |
| 1396008413 | Lisa L Anderson | Counselor | 500 S Main St Ste B, Mount Pleasant, MI 48858-3100 | 2012-06-22 |
| 1285928309 | Lisa Waters Anderson | Speech-Language Pathologist | 1525 Beaver Ave, Des Moines, IA 50310-4426 | 2011-06-06 |
| Street Address |
1660 HIGHWAY 100 S PARKDALE PALZA #430 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083842702 | Pamela J Staples | Psychologist | 1660 Highway 100 S, Suite 574, Minneapolis, MN 55416-1529 | 2009-07-01 |
| 1215197462 | Megan Leigh Beuckens | Dentist | 1660 Highway 100 S, Suite 122, Minneapolis, MN 55416-1529 | 2008-06-11 |
| 1073781431 | Molly Lynn Beckstrom | Counselor | 1660 Highway 100 S, Suite 430, Minneapolis, MN 55416-1529 | 2008-02-19 |
| 1467630186 | John Bradley Mcnaught | Counselor | 1660 Highway 100 S, Suite 430, Minneapolis, MN 55416-1529 | 2008-02-05 |
| 1861670804 | Jamie Lucille Nelson | Social Worker | 1660 Highway 100 S, Suite 430, Minneapolis, MN 55416-1529 | 2008-02-01 |
| 1558549576 | Bharati Acharya | Counselor | 1660 Highway 100 S, Minneapolis, MN 55416-1529 | 2008-01-31 |
| 1609855956 | Mary Ruth Boehlke | Psychologist | 1660 Highway 100 S, Ste. 568, Minneapolis, MN 55416-1529 | 2006-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
| 1154976926 | Isuroon | Counselor | 1600 E. Lake St., Suite 1, Minneapolis, MN 55407-1884 | 2019-08-07 |
| 1891354791 | James Clayton | Counselor | 1611 E 32nd St, Minneapolis, MN 55407-1828 | 2019-06-13 |
| 1023592904 | Cody Lewis Oaks | Counselor | 1302 2nd St Ne Ste 210, Minneapolis, MN 55413-2993 | 2018-09-18 |
| 1679847156 | Lavethe Roaitia Liggins | Counselor | 2616 Nicollet Ave South, Minneapolis, MN 55404-0900 | 2012-03-01 |
| 1902196579 | Steven Branco | Counselor | 2323 Benjamin St Ne, Minneapolis, MN 55418-4001 | 2011-04-15 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on MISS LISA MARIE ANDERSON.
| 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.