MRS. LISA LYNN CONNOLLY


Address: 3112 S Fairington Dr, Bloomington, IN 47403-3914
Phone: 8123336536

MRS. LISA LYNN CONNOLLY (NPI# 1558333237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558333237
Entity Type Individual
Full Name MRS. LISA LYNN CONNOLLY
Credential M.ED., LMHC, RBC
Practice Address 3112 S Fairington Dr
Bloomington
IN 47403-3914
Practice Telephone 8123336536
Mailing Telephone 8123336536
Enumeration Date 2006-02-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
39001380A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN CAQH # 11607950 01
IN ANTHEM 000000512064 01

Other Providers LISA CONNOLLY

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1124261268 Lisa B. Connolly Developmental Therapist 2 Otis Cir, Brunswick, ME 04011-7399 2009-04-18
1356505697 Lisa Ann Connolly Physical Therapist 7 Plaza Dr, Scarborough, ME 04074-8996 2008-07-16
1487677027 Lisa Marie Connolly Family Medicine 6 Kimball Ln, Lahey Lynnfield, Lynnfield, MA 01940-2682 2006-07-25
1811273469 Lisa Kristine Connolly Speech-Language Pathologist 500 River Ave, Suite 245, Lakewood, NJ 08701-4738 2011-10-27
1619009560 Lisa Marie Connolly Social Worker 69 Alleghany St, Roxbury Crossing, MA 02120-3336 2007-03-09

Office Location

Street Address 3112 S FAIRINGTON DR
City BLOOMINGTON
State IN
Zip Code 47403-3914

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013526631 Sandra Clark Counselor 205 N College Avenue, Suite 210a, Bloomington, IN 47404 2020-07-29
1881218642 Amy Lynn Hootman Counselor 2806 W Fawkesway Dr, Bloomington, IN 47404-1211 2020-06-07
1568096543 Elm Services LLC Counselor 4076 N Brookwood Dr, Bloomington, IN 47404-9602 2020-02-27
1033759014 Joseph Gerbofsky Counselor 410 S Landmark Ave, Bloomington, IN 47403-5000 2020-01-08
1508416371 Amy Michelle Owens Counselor 400 W 7th St Ste 105g, Bloomington, IN 47404-3900 2019-09-13
1407401714 Nichole M Day Counselor 101 W Kirkwood Ave Ste 210, Bloomington, IN 47404-6133 2019-08-04
1548721574 Ashley Hilkey Counselor 4500 W Woodland Dr, Bloomington, IN 47404-9582 2019-03-31
1235695867 Sandra K. Tucker, Ms, Lmhc, LLC Counselor 822 W 1st St Ste 4, Bloomington, IN 47403-2382 2019-02-19
1487120903 Rebecca Anne Romberger Counselor 530 W Center, Bloomington, IL 61701-6170 2018-10-23
1740789635 Jonna Marie Capio Lmhc LLC Counselor 3925 E Hagan St Ste 307, Bloomington, IN 47401-8649 2018-02-06
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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