LISA ELLISBELLO (NPI# 1447798566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447798566 |
| Entity Type | Individual |
| Full Name | LISA ELLISBELLO |
| Practice Address |
1477 Lincoln Ave San Rafael CA 94901-2028 |
| Mailing Address |
1477 Lincoln Avenue San Rafael CA 94903 |
| Practice Telephone | 4154592395 |
| Mailing Telephone | 4154592395 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1477 LINCOLN AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851510440 | Center Point, Inc | Substance Abuse Rehabilitation Facility | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2007-04-24 |
| 1912508045 | Isadora Teitelbaum Fisher | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2020-11-04 |
| 1235779844 | Javon Deshay Lampkin | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2020-01-11 |
| 1285287854 | Precious Deneen Marshall | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2019-07-22 |
| 1265992697 | Casey Marie Hanley | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2019-03-21 |
| 1841705530 | Melissa Lenae Waters | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2017-12-05 |
| 1750895819 | Jessica Seavey | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2017-11-28 |
| 1821454174 | Brittney Rexford | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2015-12-31 |
| 1316331606 | Cara Yvette Picou | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2015-03-24 |
| 1114317146 | Jeannie Hill | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2015-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542457 | Stephen Lochrane Prince | Counselor | 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 | 2019-11-07 |
| 1912463332 | Jenna Roth Ring | Counselor | 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 | 2019-02-11 |
| 1194263228 | Daron Austin | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-02-09 |
| 1427507789 | Full Circle Addiction and Recovery Services | Counselor | 1104 Lincoln Ave, San Rafael, CA 94901-3245 | 2016-09-28 |
| 1750744637 | Karen Witt | Counselor | 110 Plymouth Cv, San Rafael, CA 94901-4461 | 2016-03-30 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| 1912367236 | Felipe Perez | Counselor | 710 C Street, Suite 7, San Rafael, CA 94901 | 2016-02-29 |
| 1568839926 | Jenna Kerler | Counselor | 22 San Pablo Ave Apt 2, San Rafael, CA 94903-4122 | 2015-09-01 |
| 1598159790 | James Paul Goss IIi | Counselor | 1005 A St Ste 209, San Rafael, CA 94901-3127 | 2015-03-25 |
| 1053702787 | Marin Outpatient Recovery Services | Counselor | 11 Albion St, San Rafael, CA 94901-5201 | 2015-02-17 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on LISA ELLISBELLO.
| 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.