LISA KELLER (NPI# 1215393285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215393285 |
| Entity Type | Individual |
| Full Name | LISA KELLER |
| Practice Address |
350 E Gobbi St Ukiah CA 95482-5511 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482 UM |
| Practice Telephone | 7074722922 |
| Mailing Telephone | 7074722922 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016646 | Lisa Keller | Registered Nurse | 576 Longacre Ave, Woodmere, NY 11598-2308 | 2018-06-10 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1447692660 | Lisa Keller | Counselor | 9500 N Oracle Rd, Suite 162j, Tucson, AZ 85704-8523 | 2013-07-30 |
| 1497780795 | Lisa Kay Keller | Obstetrics & Gynecology | 940 Royal Avenue, Suite 350, Medford, OR 97504-6194 | 2006-07-12 |
| 1801843867 | Lisa M Keller | Physical Therapist | 136 Euclid Ave, Wadsworth, OH 44281-1501 | 2006-05-27 |
| 1285184291 | Lisa Keller | Social Worker | 715 Lake St Ste 800, Oak Park, IL 60301-1417 | 2016-10-13 |
| 1164675989 | Lisa S Keller | Optometrist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2008-10-23 |
| 1316105075 | Lisa Keller | Registered Nurse | 1675 Highland Ave, Room P4 4118, Madison, WI 53792-0002 | 2008-05-29 |
| 1508066309 | Lisa Ann Keller | Nurse Practitioner | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-07-19 |
| 1205051562 | Lisa Gwyn Keller | Physician Assistant | 6169 S Balsam Way, Suite 250, Littleton, CO 80123-3062 | 2007-04-13 |
| Street Address |
350 E GOBBI ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831241058 | Zoy Kazan | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2007-01-17 |
| 1205455169 | Lyndsi K Massey | Case Manager/Care Coordinator | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2020-04-10 |
| 1285253310 | Noelani R Borecky | Case Manager/Care Coordinator | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2020-04-09 |
| 1740798859 | James Mockel | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2018-01-11 |
| 1972022416 | Taryn Soto | Counselor | 350 E Gobbi St, Ukiah, CA 95482 | 2017-09-15 |
| 1396264958 | Veronica Nunez | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-09-14 |
| 1801318159 | Derek Palestrini | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-07-07 |
| 1528593639 | Katrina Fowles | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-04-26 |
| 1053850503 | Jessea Lee-elrod | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-02-16 |
| 1386183820 | Jasmin Mendoza | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| 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 |
|---|---|---|---|---|
| 1437662954 | Elliot Ward | Counselor | 501 Peach St, Ukiah, CA 95482-4516 | 2017-11-06 |
| 1912457557 | Mariah Hunt | Counselor | 564 S Dora St Ste 2, Apt H, Ukiah, CA 95482-5486 | 2016-10-06 |
| 1487058566 | Chelsea Akin | Counselor | 1690 Woodland Ter, Ukiah, CA 95482-5254 | 2014-10-17 |
| 1477979219 | Tom Buske | Counselor | 205 N Bush St, Ukiah, CA 95482-4361 | 2014-03-17 |
| 1023434362 | Bonnie Lockhart | Counselor | 810 N State St, Ukiah, CA 95482-3410 | 2014-03-11 |
| 1669770426 | David Gregory Valley | Counselor | 3258 North State Street, Ukiah, CA 95482-3052 | 2011-03-03 |
| 1285936385 | Sarah A Livingston | Counselor | 350 E Gobbi St Ste B2, Ukiah, CA 95482-5511 | 2010-11-22 |
| 1841443389 | William Armstrong | Counselor | 780 S Dora St, Ukiah, CA 95482-5348 | 2008-10-28 |
| 1588794366 | Donna Lee Matthews | Counselor | 270 N Pine St, Ukiah, CA 95482-4334 | 2007-03-07 |
| 1730229675 | Carmen J Harris | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2007-02-08 |
| Find all providers in UKIAH | ||||
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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.