LISA LARIMER BURTIS (NPI# 1952445454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952445454 |
| Entity Type | Individual |
| Full Name | LISA LARIMER BURTIS |
| Credential | LMFT |
| Practice Address |
421 N Franklin St Apt 3 Fort Bragg CA 95437-3263 |
| Mailing Address |
Po Box 653 Mendocino CA 95460-0653 |
| Practice Telephone | 7079722261 |
| Practice Fax Number | 7079371876 |
| Mailing Telephone | 7079722261 |
| Mailing Fax Number | 7079371876 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT49997 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 327 E Redwood Ave Ste B, Fort Bragg, CA 954373550 | 7079722261 | 7079371876 |
| 421 N Franklin St Apt 3, Fort Bragg, CA 954373263 | 7079722261 | 7079371876 |
| Street Address |
421 N FRANKLIN ST APT 3 |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-3263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256859 | Isaac D Fishman | Marriage & Family Therapist | 500 N Harold St, Fort Bragg, CA 95437-3308 | 2018-08-27 |
| 1649605940 | Martha Mccord | Marriage & Family Therapist | 32670 Highway 20, Fort Bragg, CA 95437-5708 | 2013-09-05 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1538378484 | John Wiser | Marriage & Family Therapist | 32670 Highway 20 Ste 2, Fort Bragg, CA 95437-5708 | 2007-05-21 |
| 1609083609 | Peter Burtis | Marriage & Family Therapist | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2007-05-17 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1821135484 | Linda Ann Perry | Marriage & Family Therapist | 1102 S Main St, Fort Bragg, CA 95437-5305 | 2007-01-31 |
| 1972690733 | Kathleen L Cave | Marriage & Family Therapist | 32391 Mill Creek Dr, Fort Bragg, CA 95437 | 2006-10-05 |
| 1093800799 | Carol Michelson | Marriage & Family Therapist | 347 Cypress St Ste B, Fort Bragg, CA 95437 | 2006-10-04 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on LISA LARIMER BURTIS.
| 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.