MS. LISA C. CARPENTER (NPI# 1679540413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679540413 |
| Entity Type | Individual |
| Full Name | MS. LISA C. CARPENTER |
| Credential | L.P.C. |
| Practice Address |
1615 Martin Luther King Blvd Malvern AR 72104 |
| Mailing Address |
125 Wellness Way Hot Springs AR 71913-6478 |
| Practice Telephone | 5013325236 |
| Practice Fax Number | 5016205109 |
| Mailing Telephone | 5016247111 |
| Mailing Fax Number | 5016205109 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P0907043 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116399726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164750063 | Lisa Ann Carpenter | Occupational Therapist | 4325 N Branch Dr, Omaha, NE 68116-2954 | 2009-12-03 |
| 1063662161 | Lisa Carpenter | Dietitian, Registered | 292 N Lake Cunningham Ave, Saint Johns, FL 32259-7969 | 2008-09-25 |
| 1639126063 | Lisa Jane Carpenter | Physician Assistant | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2006-05-30 |
| 1578038915 | Lisa Rene'e Carpenter | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2629 | 2018-10-12 |
| 1053829580 | Lisa Carpenter | Day Training/Habilitation Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2018-01-18 |
| 1821418716 | Lisa Carpenter | Internal Medicine | 6th Avenue & Spruce Street, West Reading, PA 19610 | 2014-04-18 |
| 1528335247 | Lisa L Carpenter | Nurse Practitioner | 75 Arch St, Ste. G2, Akron, OH 44304-1429 | 2011-11-23 |
| 1417018995 | Lisa A Carpenter | Licensed Practical Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2006-12-12 |
| Street Address |
1615 MARTIN LUTHER KING BLVD |
| City | MALVERN |
| State | AR |
| Zip Code | 72104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703389 | Lota M. Hardin | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2006-01-06 |
| 1295346757 | Bonnie Lynn Mann | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2020-08-10 |
| 1245873710 | Johna Grant | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-10-28 |
| 1013567338 | Brittney Mcgriff | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-09-18 |
| 1598319303 | Shatoria Brianne Johnson | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-07-30 |
| 1841764040 | Maronica Howard | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-01-22 |
| 1962996413 | Mariah Brown | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-19 |
| 1861984957 | Adela Hernandez | Social Worker | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-04 |
| 1104365824 | Ryan Zotz | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2017-02-14 |
| 1154771483 | Brittany Olloway | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952727554 | Cody Mcarthur | Counselor | 1910 Fox Run, Malvern, AR 72104-9161 | 2014-03-07 |
| 1417254640 | Joy G. Mears | Counselor | 20 Mystic Ln, Suite A, Malvern, PA 19355-1942 | 2011-02-24 |
| 1740486943 | Karen Denise Fry | Counselor | 1022 E Page Ave, Malvern, AR 72104-4362 | 2007-06-25 |
| 1689798993 | Maxus | Counselor | 132 W 2nd St, Malvern, AR 72104-3708 | 2007-03-19 |
| 1114076338 | Tracy E Hill | Counselor | 18 W King St, Malvern, PA 19355-2400 | 2007-01-09 |
| 1457421737 | Desiree Kenyetta Ross | Counselor | 89 Sagewood Dr, Malvern, PA 19355-2234 | 2006-11-08 |
| 1902831399 | Gary D. Kunz | Counselor | 6 Salisbury Ln, Malvern, PA 19355-2836 | 2006-07-12 |
| 1346215324 | Heather Lee Ramsay | Counselor | 580 Riverpark Dr, Malvern, AR 72104 | 2006-02-22 |
| 1154329571 | Linda Carman Copel | Counselor | 2256 Georgetown Dr, Malvern, PA 19355-2308 | 2005-07-10 |
| 1033740808 | Karen Eason | Counselor | 829 Halbert St, Malvern, AR 72104-2607 | 2020-01-30 |
| Find all providers in MALVERN | ||||
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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.