LISA TAMAR HENDERSON (NPI# 1568751279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568751279 |
| Entity Type | Individual |
| Full Name | LISA TAMAR HENDERSON |
| Credential | RASAC II |
| Practice Address |
306 N 2nd St Piedmont MO 63957-1301 |
| Practice Telephone | 5732085129 |
| Practice Fax Number | 5732237691 |
| Mailing Telephone | 5732085129 |
| Mailing Fax Number | 5732237691 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5974 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1912419243 | Lisa Renee Henderson | Nurse Practitioner | 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 | 2017-10-26 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1053865675 | Lisa Ann Henderson | Physical Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2016-08-11 |
| 1396135836 | Lisa Henderson | Nurse Practitioner | 214 Blue Stem Drive, New Hope, PA 18938 | 2015-02-04 |
| 1346681327 | Lisa Henderson | Registered Nurse | 52 E Oak St, West Alexandria, OH 45381-1273 | 2013-07-08 |
| 1336378751 | Lisa Marie Henderson | Speech-Language Pathologist | 215 Covered Bridge Rd, Oneonta, NY 13820-4211 | 2009-07-07 |
| 1497999643 | Lisa Reshae Henderson | Nurse Practitioner | 814 N John Young Pkwy, Kissimmee, FL 34741-4912 | 2009-04-30 |
| 1922145432 | Lisa Danielle Henderson | Counselor | 331 54th Ave N, Nashville, TN 37209-3317 | 2007-01-31 |
| 1831710359 | Lisa Ann Henderson | Counselor | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-05-06 |
| Street Address |
306 N 2ND ST |
| City | PIEDMONT |
| State | MO |
| Zip Code | 63957-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680694 | Anthony B Pendergrass | Counselor | 306 N 2nd St, Piedmont, MO 63957-1301 | 2007-01-30 |
| 1700498318 | Kelsey Holder | Behavior Technician | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-08-17 |
| 1922619956 | Brande Russell | Behavior Technician | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-08-13 |
| 1235747049 | Jennifer Elizabeth Snyder | Counselor | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-07-17 |
| 1902423080 | Sarah Beth Keeling | Case Manager/Care Coordinator | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-07-06 |
| 1114544178 | Martha Mcdonald | Counselor | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-06-25 |
| 1275154908 | Helen Margaret Mcdonald | Counselor | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-05-05 |
| 1609408376 | Leeanna Kirkpatrick | Behavior Technician | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-02-10 |
| 1063056224 | Laura M Wigger | Case Manager/Care Coordinator | 306 N 2nd St, Piedmont, MO 63957-1301 | 2019-10-31 |
| 1750934428 | Theron Burse | Case Manager/Care Coordinator | 306 N 2nd St, Piedmont, MO 63957-1301 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1700432838 | April Dawn Gibson | Behavior Technician | 306 North 2nd Street, Piedmont, MO 63957 | 2019-08-14 |
| 1457844748 | Town and Country Super Market Inc | Pharmacy | #7 Hal's Plaza, Piedmont, MO 63957 | 2018-06-11 |
| 1528588522 | Ashley Dawn Janecek | Case Manager/Care Coordinator | 306 N Second St, Piedmont, MO 63957 | 2017-06-21 |
| 1649587031 | Joseph Michael Toney | Family Medicine | #1 Hals Plaza Drive, Piedmont, MO 63957 | 2010-09-07 |
| 1184825770 | Clearwater Ambulance District | Ambulance | 117 B, Piedmont, MO 63957 | 2007-05-30 |
| 1629129457 | Roy Eugene Winters | Pharmacist | #1hals Plaza, Piedmont, MO 63957 | 2007-01-16 |
| 1386655322 | Toneys Drug & Wellness, LLC | Pharmacy | 1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-08-11 |
| 1407880099 | Michael P Toney | Family Medicine | #1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-07-10 |
| 1972549053 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | #1 Hal's Plaza, Piedmont, MO 63957 | 2006-06-20 |
| Find all providers in zip 63957 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544178 | Martha Mcdonald | Counselor | 306 N 2nd St, Piedmont, MO 63957-1301 | 2020-06-25 |
| 1639564297 | Brittany Steiminger | Counselor | 1027 Park Lane, Piedmont, CA 94610-1124 | 2015-03-31 |
| 1194896647 | Addictionology Associates LLC | Counselor | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950511 | Gene Martino | Counselor | 1750 S Brentwood Blvd Ste 302, Saint Louis, MO 63144-1339 | 2020-10-20 |
| 1255951398 | Jennifer Dayle King Brogan | Counselor | 1157 Telegraph Rd, Arnold, MO 63010-4060 | 2020-04-18 |
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1467008599 | The Brook Wellness Center | Counselor | 895 State Highway 248 Ste C, Branson, MO 65616-4013 | 2019-08-14 |
| 1437719879 | Rejuvenating Counseling Services | Counselor | 9191 W Florissant Ave Ste 206, Saint Louis, MO 63136-1424 | 2019-06-18 |
| 1467915645 | Plan Your Recovery, LLC | Counselor | 9890 Clayton Rd Ste 132, Saint Louis, MO 63124-1685 | 2019-04-13 |
| 1023572534 | Foundation Recovery Center | Counselor | 2301 Frederick Ave Ste 6, Saint Joseph, MO 64506-2637 | 2019-01-29 |
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1841769908 | Bernard Godfrey Jr. | Counselor | 3966 Max Weich Pl, Florissant, MO 63033-6768 | 2018-11-19 |
| 1356816631 | Patrick P Pruitt | Counselor | 600 W 39th St, Kansas City, MO 64111-2910 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
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| 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.