LISA PERLOCK (NPI# 1417386764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417386764 |
| Entity Type | Individual |
| Full Name | LISA PERLOCK |
| Credential | LPCC |
| Practice Address |
14300 Nicollet Ct Ste 130 Burnsville MN 55306-3422 |
| Mailing Address |
14300 Nicollet Ct Suite 130 Burnsville MN 55306-4501 |
| Practice Telephone | 9524358814 |
| Practice Fax Number | 9524357705 |
| Mailing Telephone | 9524358814 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2015-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC00660 | MN | Behavioral Health & Social Service Providers |
| Street Address |
14300 NICOLLET CT STE 130 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405198 | Alison Whiteaker | Marriage & Family Therapist | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2020-04-15 |
| 1679121263 | Joan Plaisance | Counselor | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2019-08-28 |
| 1194282210 | Katherine L Schliesman | Marriage & Family Therapist | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2019-02-25 |
| 1114431376 | Kathryn M Weise | Marriage & Family Therapist | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2017-11-27 |
| 1831509850 | Jill Carlson | Counselor | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2014-04-29 |
| 1548681737 | Melanie Johnson | Counselor | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2013-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| 1568957587 | Fardosa Sheikh | Counselor | 34 Horizon Hts, Burnsville, MN 55337-7020 | 2018-06-22 |
| 1386139301 | Sumaya M Aden | Counselor | 13008 Oliver Ave S, Burnsville, MN 55337-6612 | 2018-06-22 |
| 1649794470 | Nalda Rives Mills | Counselor | 121b Boone Ridge Dr, Burnsville, NC 28714 | 2017-08-02 |
| 1699128371 | Jessica Ellison | Counselor | 1521 Highway 13 E, Burnsville, MN 55337-2917 | 2016-07-19 |
| 1184866774 | Tyra Lee Silvers | Counselor | 35 Mountaineer Ln, Burnsville, NC 28714-7835 | 2009-03-30 |
| 1568667277 | Adina Arden-cooper | Counselor | 1128 Cane River School Rd, Burnsville, NC 28714-8106 | 2007-06-21 |
| 1912074683 | Theresa Jane Anderson | Counselor | 36 Sweet Cider Lane, Burnsville, NC 28714 | 2006-11-29 |
| 1215040902 | Charlotte Jennifer England | Counselor | 5109 State Highway 80 S, Burnsville, NC 28714-7534 | 2006-08-16 |
| 1417969510 | Kathy Lorraine Heuser | Counselor | 1500 Mcandrews Rd W. #213, Burnsville, MN 55337 | 2006-08-13 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
Please comment or provide details below to improve the information on LISA PERLOCK.
| 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.