LISA LIPPOLD (NPI# 1306382007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306382007 |
| Entity Type | Individual |
| Full Name | LISA LIPPOLD |
| Credential | LADC |
| Practice Address |
20333 Enright Way Farmington MN 55024-2022 |
| Practice Telephone | 6512388540 |
| Mailing Telephone | 6512388540 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| 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) |
302394 | MN | Behavioral Health & Social Service Providers |
| Street Address |
20333 ENRIGHT WAY |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077275 | Jerrald Tom James | Counselor | 475 E 20th St Ste D, Farmington, NM 87401-2132 | 2019-11-13 |
| 1063071041 | Daphnie Cummins | Counselor | 653 W Arrington St, Farmington, NM 87401-8513 | 2019-06-12 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1801327614 | Holly Gregory | Counselor | 216 E Apache St, Farmington, NM 87401-6904 | 2017-03-23 |
| 1922455609 | Second Chance Counseling, LLC | Counselor | 719 W Apache St, Farmington, NM 87401-5512 | 2016-05-23 |
| 1790131977 | Shawna B Riley | Counselor | 1313 Mission Ave, Farmington, NM 87401 | 2016-05-06 |
| 1437516911 | Ann Cushing | Counselor | 253 Fairbanks Rd, Farmington, ME 04938-5723 | 2016-01-28 |
| 1922499136 | Masada House Inc | Counselor | 610 N Dustin Ave, Farmington, NM 87401 | 2015-02-10 |
| 1194128603 | Ag Counseling LLC | Counselor | 769 Farmington Ave, Farmington, CT 06032-2310 | 2014-09-29 |
| 1942544630 | Mark Ernest Wardlow Jr. | Counselor | 1528 Highway H, Farmington, MO 63640-7042 | 2012-11-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
Please comment or provide details below to improve the information on LISA LIPPOLD.
| 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.