DR. LISA MARLETTE COTTRELL (NPI# 1255505848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255505848 |
| Entity Type | Individual |
| Full Name | DR. LISA MARLETTE COTTRELL |
| Credential | PH.D. |
| Practice Address |
975 Port Washington Rd Aurora Medical Center - Grafton, Suite 410 Grafton WI 53024-9201 |
| Practice Telephone | 2623294305 |
| Practice Fax Number | 2623295614 |
| Mailing Telephone | 2623294305 |
| Mailing Fax Number | 2623295614 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2014-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2815-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43734900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720353659 | Lisa Cottrell | Counselor | 601 W Ponce De Leon Ave, Decatur, GA 30030-2952 | 2012-03-10 |
| 1396998357 | Lisa Marie Cottrell | Nurse's Aide | 500 Leon Sullivan Way, Charleston, WV 25301-1217 | 2008-11-03 |
| 1598136210 | Lisa Cottrell | Counselor | 111 Edgartown Rd, Vineyard Haven, MA 02568-5699 | 2015-10-08 |
| Street Address |
975 PORT WASHINGTON RD AURORA MEDICAL CENTER - GRAFTON, SUITE 410 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292610 | Robert N. Fish | Anesthesiology | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2005-08-18 |
| 1700499845 | Melissa A Stock | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-08-28 |
| 1689292708 | Scott Thompson | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-07-07 |
| 1740807296 | Todd R Stanley | Registered Nurse | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-07-01 |
| 1639792666 | Emily Ann Feather | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-05-26 |
| 1073136180 | Jasleen Guru | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-05-22 |
| 1811517097 | William Knox | Occupational Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-04-17 |
| 1679192314 | Caitlin Marie Hill | Speech-Language Pathologist | 975 Port Washington Rd, Grafton, WI 53024-9204 | 2020-04-13 |
| 1447888789 | Beverly Altman | Massage Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-03-31 |
| 1013540566 | Matthew David Poli | Physician Assistant | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346312808 | Mary Helen Lillich | Psychologist | 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | 2006-11-13 |
| 1265535207 | Phyllis J Neer | Psychologist | 500 Market St, Grafton, WV 26354-1184 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
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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.