LISA MACKEY (NPI# 1609317502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609317502 |
| Entity Type | Individual |
| Full Name | LISA MACKEY |
| Practice Address |
1811 Greenview Pl Sw Ste 110 Rochester MN 55902-4354 |
| Mailing Address |
2575 Harvest Lane Nw Owatonna MN 55060 |
| Practice Telephone | 5074460431 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3069 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2575 Harvest Lane Nw, Owatonna, MN 55060 | 5074460431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194296715 | Lisa Mackey | Registered Nurse | 5657 Spur Ave, Oceanside, CA 92057-5799 | 2018-12-07 |
| 1982693297 | Lisa Marie Mackey | Optometrist | 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | 2005-10-19 |
| 1528281516 | Lisa Mackey | Physical Therapy Assistant | 200 Governors Ave, Medford, MA 02155-1644 | 2007-04-10 |
| 1134256043 | Lisa L Mackey | Social Worker | 1800 Main St, Columbia, SC 29201-2433 | 2007-02-27 |
| Street Address |
1811 GREENVIEW PL SW STE 110 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235671306 | Megan Marie Radosevich | Counselor | 1811 Greenview Pl Sw Ste 110, Rochester, MN 55902-4354 | 2016-11-07 |
| 1528530755 | Hillary Grover | Social Worker | 1811 Greenview Pl Sw Ste 110, Rochester, MN 55902-4354 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212922 | Kathryn R Meckle | Counselor | 19350 Grand Mound Way Sw, Rochester, WA 98579-9218 | 2020-10-13 |
| 1851928626 | Daniel Shepherd Dmin, LLC | Counselor | 210 W University Dr Ste 7, Rochester, MI 48307-1975 | 2020-03-23 |
| 1477016749 | Matthew Cooney Dougherty | Counselor | 1099 Jay St Ste 200, Rochester, NY 14611-1153 | 2019-04-12 |
| 1538679063 | Lorrie Ann Johnson | Counselor | 95 Allens Creek Rd Ste 2, Rochester, NY 14618-3252 | 2017-10-11 |
| 1275058380 | Daniel Farm | Counselor | 2434 Superior Dr Nw Ste 103, Rochester, MN 55901-2591 | 2017-08-09 |
| 1821453663 | Jonathan Hart | Counselor | 411 Woodward Ave, Rochester, MI 48307-1173 | 2015-12-21 |
| 1225413883 | Alexandra Rahaim | Counselor | 1908 Flagstone Cir, Rochester, MI 48307-6096 | 2015-07-24 |
| 1689067316 | Patricia R Geist | Counselor | 110 Blacksmith Rd, Rochester, WA 98579-8902 | 2015-03-05 |
| 1831511211 | Dan Austin | Counselor | 5041 Aintree Ct, Rochester, MI 48306-2702 | 2014-01-20 |
| 1336577758 | Ira Leighann Scheckel | Counselor | 2519 Commerce Dr Nw Ste 210, Rochester, MN 55901-4434 | 2013-10-22 |
| Find all providers in ROCHESTER | ||||
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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.