DR. LISA CARROLL BODE


Address: 440 W 1st St Ste 203, Tustin, CA 92780-3018
Phone: 7145430999

DR. LISA CARROLL BODE (NPI# 1801457049) 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) 1801457049
Entity Type Individual
Full Name DR. LISA CARROLL BODE
Credential LMFT, PHD
Practice Address 440 W 1st St Ste 203
Tustin
CA 92780-3018
Practice Telephone 7145430999
Practice Fax Number 9095634933
Mailing Telephone 7145430999
Mailing Fax Number 9095634933
Enumeration Date 2019-06-27
Last Update Date 2019-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist LMFT24345 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA INSURANCE COMPANIES LMFT24345 01

Office Location

Street Address 440 W 1ST ST STE 203
City TUSTIN
State CA
Zip Code 92780-3018

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780947 John Michael Michael Pharmacist 14481 Wildeve Ln, Tustin, CA 92780 2020-02-03
1609426881 Abigail Joy Maqsood Behavior Technician 290a S Prospect Ave, Tustin, CA 92780 2019-09-19
1255814711 Hyun Dong Lee Chiropractor 14591 Newport Ave Ste 106, Tustin, CA 92780 2018-09-11
1346733573 Elizabeth Kim Nguyen Dds Inc Clinic/Center 14521 Red Hill Ave, Tustin, CA 92780 2018-06-12
1255829503 Hw Physical Therapy Physical Therapist 250 El Camino Real Ste 100, Tustin, CA 92780 2018-04-23
1912494352 Gary Wayne Mcbeath Marriage & Family Therapist 17821 E 17th Street, Suite # 260, Tustin, CA 92780 2018-04-20
1104334598 Catherine Bogues Speech-Language Pathologist 661 West 1st Street, Suite E, Tustin, CA 92780 2018-01-19
1972019941 Lighthouse Behavioral Solutions Behavioral Analyst 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 2017-12-28
1629597299 Lifecab, LLC Non-emergency Medical Transport (VAN) 13732 Newport Ave, Suite #1, Tustin, CA 92780 2017-09-14
1437606555 Tustin Speech Therapy, Inc. Speech-Language Pathologist 661 West First Street, Suite E, Tustin, CA 92780 2016-09-07
Find all providers in zip 92780

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750995866 Ashley Svendsen Marriage & Family Therapist 242 W Main St Ste 200, Tustin, CA 92780-7723 2020-09-04
1073163416 Merna Eissa Marriage & Family Therapist 250 W Main St Ste 101, Tustin, CA 92780-7717 2019-09-18
1316505134 Michelle Claire Hill Marriage & Family Therapist 242 W Main St Ste 104, Tustin, CA 92780-7715 2019-06-05
1790261980 John Bosco Saldana Bunyi Marriage & Family Therapist 145 W Main St Ste 250, Tustin, CA 92780-7751 2018-07-11
1407341811 Nadine Edna Tardie Marriage & Family Therapist 17291 Irvine Blvd Ste 425, Tustin, CA 92780-2970 2018-06-27
1669966404 Samantha Seaton Marriage & Family Therapist 513 E 1st St Ste C, Tustin, CA 92780-3348 2018-06-15
1235622259 Stephanie Sulea Marriage & Family Therapist 17291 Irvine Blvd Ste 203, Tustin, CA 92780-2929 2018-06-13
1912494352 Gary Wayne Mcbeath Marriage & Family Therapist 17821 E 17th Street, Suite # 260, Tustin, CA 92780 2018-04-20
1225535750 Wendy S Concepcion Marriage & Family Therapist 17772 Irvine Blvd Ste 101, Tustin, CA 92780-3233 2018-04-11
1891215216 Eiran Lindsay Morgen Marriage & Family Therapist 242 W Main St Ste 200a, Tustin, CA 92780-7716 2017-06-27
Find all providers in TUSTIN

Competitor

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City TUSTIN
Zip Code 92780

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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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