LISA BRUENING (NPI# 1255798484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255798484 |
| Entity Type | Individual |
| Full Name | LISA BRUENING |
| Credential | LPCC |
| Practice Address |
4400 Euclid Ave Cleveland OH 44103-3734 |
| Mailing Address |
4500 Euclid Ave Cleveland OH 44103-3736 |
| Practice Telephone | 2164327200 |
| Practice Fax Number | 2164327253 |
| Mailing Telephone | 2164327200 |
| Mailing Fax Number | 2164327253 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E0601090SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | E0601090SUPV | 01 |
| Street Address |
4400 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194948893 | James M Lionetti | Pharmacist | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2007-04-11 |
| 1609409291 | Brenden Stinson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-21 |
| 1619508256 | Chamekia Rena Edwards | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-02 |
| 1235771965 | Phyllis Gossett | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1528600251 | Michelle Starling | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1417503020 | Britney Laux | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1235785841 | Kierra Mcdade | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1083268718 | Brian Spence | Nurse Practitioner | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-31 |
| 1922650340 | Ladamoneek Broadus | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-16 |
| 1407408909 | Margaret Whitmore | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726987 | Stacy Lynn Reynolds | Counselor | 112 Shade Crest Ln, Cleveland, TX 77327-4343 | 2020-10-05 |
| 1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
| 1952924078 | Chana Rivka Hersh | Counselor | 3762 Bainbridge Rd, Cleveland, OH 44118-2244 | 2020-05-22 |
| 1033739792 | Cassandra Felice Franklin | Counselor | 6629 Worley Ave, Cleveland, OH 44105-3719 | 2020-04-23 |
| 1477189777 | Trauma Recovery and Counseling Services LLC | Counselor | 3886 Rocky River Dr, Cleveland, OH 44111-4119 | 2020-03-18 |
| 1023581758 | Edward Lee Varner | Counselor | 2292 Chambliss Ave Nw Ste C-2, Cleveland, TN 37311-3862 | 2019-01-04 |
| 1093217275 | Carmen Burrows | Counselor | 22001 Fairmount Blvd Bldg K, Cleveland, OH 44118-4819 | 2018-03-05 |
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1538679139 | Heidi Ables | Counselor | 1225 Wildwood Ave Se, Cleveland, TN 37311-6916 | 2017-10-09 |
| 1679092720 | Megan Davis | Counselor | 1115 Rowley Ave, Cleveland, OH 44109-1843 | 2017-09-10 |
| Find all providers in CLEVELAND | ||||
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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.