LISA R RICHARDSON (NPI# 1477019974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477019974 |
| Entity Type | Individual |
| Full Name | LISA R RICHARDSON |
| Other Name | LISA R WILLIS |
| Credential | LMHC, LPC, NBCC |
| Practice Address |
1505 Tamiami Trl S Ste 402 Venice FL 34285-5563 |
| Mailing Address |
1607 Larchwood Dr Venice FL 34293-1016 |
| Practice Telephone | 9418820590 |
| Practice Fax Number | 9414440602 |
| Mailing Telephone | 9418820590 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11228 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
001923 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552480 | Lisa Jo Richardson | Registered Nurse | 2922 Summerfield Dr, Louisville, KY 40220-2833 | 2019-08-01 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235636796 | Lisa Hughes Richardson | Home Health Aide | 915 Ledro St, Cincinnati, OH 45246-1802 | 2018-04-11 |
| 1821538273 | Lisa Marie Richardson | Marriage & Family Therapist | 2852 Elmwood Ave Apt 9, Stockton, CA 95204-3949 | 2017-03-05 |
| 1447590906 | Lisa Richardson | Social Worker | Highway One, San Luis Obispo, CA 93409-8101 | 2013-02-20 |
| 1033376520 | Lisa Annette Richardson | Licensed Practical Nurse | 597 Bellevue Ave N, Yonkers, NY 10703-1118 | 2008-05-21 |
| 1912101627 | Lisa Herlocker Richardson | Occupational Therapy Assistant | 33426 Old Salisbury Road, Albemarle, NC 28002 | 2007-06-14 |
| 1790899011 | Lisa C. Richardson | Social Worker | 1716 W. Searcy St., Heber Springs, AR 72543-3532 | 2006-08-17 |
| 1427072750 | Lisa B Richardson | Nurse Practitioner | 55 Joy Dr, Loudonville, NY 12211-1539 | 2006-07-27 |
| 1477596765 | Lisa Denise Richardson | Social Worker | 508 Airdale Ln, Simpsonville, SC 29680-7822 | 2006-06-14 |
| Street Address |
1505 TAMIAMI TRL S STE 402 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205176609 | Spirited Away Art Therapy, LLC | Counselor | 1505 Tamiami Trl S Ste 402, Venice, FL 34285-5563 | 2013-02-21 |
| 1699238055 | Fundamental Psychology | Counselor | 1505 Tamiami Trl S Ste 402, Venice, FL 34285-5563 | 2019-04-11 |
| 1023436987 | Angela Steranko | Psychologist | 1505 Tamiami Trl S Ste 402, Venice, FL 34285-5563 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339899 | Amy Claude | Counselor | 417 Redwood Rd, Venice, FL 34293-1128 | 2020-02-28 |
| 1083191134 | Susan Winfield | Counselor | 615 Hampton Dr Unit A303, Venice, CA 90291-2793 | 2018-07-22 |
| 1053825638 | David Huw Burston | Counselor | 703 Machado Dr, Venice, CA 90291-2706 | 2017-11-19 |
| 1417305061 | Lindsay Dec | Counselor | 333 Tamiami Trl S Ste 293, Venice, FL 34285-2415 | 2016-05-24 |
| 1639572720 | John Andrew Ireland | Counselor | 1010 Kings Ct, Venice, FL 34293-2024 | 2014-10-02 |
| 1609276229 | Erin Leanne Parrett | Counselor | 223 High Point Dr, Venice, FL 34292-1717 | 2014-09-02 |
| 1750795720 | Surety Inc. | Counselor | 266 Miami Ave W Ste B, Venice, FL 34285-2320 | 2014-06-17 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1508282385 | Clarence Alley Thompson IIi | Counselor | 225 4th Ave, #203, Venice, CA 90291-8605 | 2014-03-17 |
| 1851714034 | Kathleen Whitworth | Counselor | 19503 S West Villages Pkwy, Venice, FL 34293 | 2014-01-24 |
| Find all providers in VENICE | ||||
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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.