MS. LISA ANN FERGUSON (NPI# 1598180853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598180853 |
| Entity Type | Individual |
| Full Name | MS. LISA ANN FERGUSON |
| Credential | MA, LCAC, CADAC II, |
| Practice Address |
1904 W Royale Dr Muncie IN 47304-2264 |
| Mailing Address |
2881 S Priestford Rd Yorktown IN 47396-9726 |
| Practice Telephone | 7652840043 |
| Mailing Telephone | 7657305258 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| 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) |
87001300A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447386586 | Lisa Ann Ferguson | Physician Assistant | Sixth Avenue and Spruce Street, The Reading Hospital and Medical Center, Reading, PA 19612-6052 | 2007-02-25 |
| 1861425548 | Lisa Marie Ferguson | Nurse Anesthetist, Certified Registered | 7101 Fairway Dr, Palm Beach Gardens, FL 33418-3701 | 2006-07-08 |
| 1336121060 | Lisa Louise Ferguson | Nurse Practitioner | 13660 Ne 209th Terrace Rd, Salt Springs, FL 32134-5735 | 2005-11-17 |
| 1467070482 | Lisa Ferguson | Physical Therapist | 800 E Gate Blvd, Garden City, NY 11530-2105 | 2020-07-07 |
| 1922665066 | Lisa Renee Ferguson | Behavior Technician | 6701 Democracy Blvd, Bethesda, MD 20817-1572 | 2019-05-23 |
| 1760885198 | Lisa Ferguson | Nurse Practitioner | 3203 S Main St, Lindale, TX 75771-7727 | 2014-09-30 |
| 1548669831 | Lisa Ferguson | Registered Nurse | 4601 S 7th St, Terre Haute, IN 47802-4522 | 2014-08-22 |
| 1699012377 | Lisa K Ferguson | Pharmacist | 1483 Nashville Pike, Gallatin, TN 37066-7144 | 2013-01-14 |
| 1396027595 | Lisa Ferguson | Contractor | 555 Soquel Ave, 190, Santa Cruz, CA 95060 | 2011-09-13 |
| 1215216817 | Lisa Ferguson | Dentist | 246 Town Center Pkwy, Santee, CA 92071-5803 | 2011-08-12 |
| Street Address |
1904 W ROYALE DR |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699893883 | Beth A. Trammell | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2007-03-26 |
| 1164039186 | Dana Elaine Thomas | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2020-09-24 |
| 1619582624 | Ericka Kelley | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2020-09-15 |
| 1134771157 | Paulina Wojtach | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2019-07-10 |
| 1629633953 | Cassandra Ellen Reidt | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2019-05-02 |
| 1457848459 | Ashley Lynn Boester-dean | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2018-04-16 |
| 1366950891 | Jamie L Pereira | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2018-01-18 |
| 1861845927 | Abigail Hove | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2016-07-13 |
| 1568826154 | Abby Nethaway | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2016-04-08 |
| 1942603394 | Sarah E Conway | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669414 | Timothy William Mccarty | Counselor | 240 N. Tillotson Avenue, Meridian Services Corp., Muncie, IN 47304-3988 | 2006-02-17 |
| 1689120388 | Garry Hill | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2016-09-01 |
| 1609299833 | Bonnie Ellen Thompson | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2014-01-23 |
| 1295087278 | Amanda K Whitten | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2012-10-15 |
| 1952606873 | Stephanie L Maher | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2011-01-25 |
| 1194027052 | Daryl E Thompson | Counselor | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2010-11-29 |
| 1740505460 | Nicole Marie Liedtke | Counselor | 3645 N Briarwood Ln, Ste A, Muncie, IN 47304-5337 | 2010-04-06 |
| 1609054022 | Richard Baker | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-02-07 |
| 1174701585 | Carol K Singer | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-02-07 |
| 1922286558 | Shelia Pettit | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2008-02-06 |
| Find all providers in MUNCIE | ||||
Please comment or provide details below to improve the information on MS. LISA ANN FERGUSON.
| 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.