MRS. LISA LA'REE KISHIYAMA (NPI# 1982999074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982999074 |
| Entity Type | Individual |
| Full Name | MRS. LISA LA'REE KISHIYAMA |
| Credential | LMSW |
| Practice Address |
660 S Woodruff Ave Idaho Falls ID 83401-5299 |
| Mailing Address |
2820 Saint Charles Ave Idaho Falls ID 83404-7330 |
| Practice Telephone | 2085231558 |
| Practice Fax Number | 2085294788 |
| Mailing Telephone | 2086814808 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LMSW-31426 | ID | Behavioral Health & Social Service Providers |
| Street Address |
660 S WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063674786 | Jessie Elaine Sullivan | Counselor | 660 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-06-25 |
| 1376981134 | Michele Marie Elsbree | Social Worker | 660 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2013-06-13 |
| 1003101577 | Sullivan Mental Health Services LLC | Clinic/Center | 660 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1063923597 | Jared Roberts | Counselor | 550 W Sunnyside Rd, Idaho Falls, ID 83402-4619 | 2017-10-24 |
| 1982051694 | Stephen Nelson | Counselor | 1582 N Holmes Ave, Idaho Falls, ID 83401-2032 | 2016-05-23 |
| 1043689029 | Kirk Thiemann | Counselor | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2015-09-19 |
| 1942632153 | Kevin L Lindley | Counselor | 1904 Jennie Lee Dr, Idaho Falls, ID 83404-6159 | 2013-07-30 |
| 1710325444 | Eric Olson | Counselor | 320 B St Ste 110, Idaho Falls, ID 83402-3547 | 2013-06-04 |
| 1427315084 | Healing Heands Reiki and Massage, LLC | Counselor | 429 B St, Idaho Falls, ID 83402-3544 | 2012-04-19 |
| 1497028161 | Shirley Joann Koester | Counselor | 901 Pier View Dr, Suite 204, Idaho Falls, ID 83402-5070 | 2012-02-10 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on MRS. LISA LA'REE KISHIYAMA.
| 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.