LISA L CARLSON (NPI# 1730545682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730545682 |
| Entity Type | Individual |
| Full Name | LISA L CARLSON |
| Practice Address |
1217 Riverside Ave Fort Collins CO 80524-3218 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445200 | Lisa Carlson | Social Worker | 2254 W Farragut Ave, Apt 1f, Chicago, IL 60625-1802 | 2015-08-30 |
| 1669643292 | Lisa Carlson | Pharmacist | 66 Birdsong Pkwy, Orchard Park, NY 14127-3068 | 2008-03-24 |
| 1699860098 | Lisa Pitzer Carlson | Pharmacist | 100f West Dean Keeton, Austin, TX 78712-1006 | 2006-10-03 |
| 1992233902 | Lisa Carlson | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441-7959 | 2017-06-02 |
| 1811430952 | Lisa Carlson | Physical Therapist | 5525 Cedar Lake Rd S, Saint Louis Park, MN 55416-1420 | 2016-11-21 |
| 1093051054 | Lisa Marie Carlson | Massage Therapist | 11734 15th Ave Ne, Seattle, WA 98125-5026 | 2012-12-19 |
| 1831485283 | Lisa Carlson | Counselor | 2149 Centennial Plz Ste 4, Eugene, OR 97401-2456 | 2011-06-23 |
| 1699070664 | Lisa Lynn Carlson | Pharmacist | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2011-01-21 |
| 1861636623 | Lisa Carlson | Marriage & Family Therapist | 621 Chapala St Ste C, Santa Barbara, CA 93101-7010 | 2009-04-23 |
| 1598772212 | Lisa Carlson | Internal Medicine | 101 E Wood Street, Medical Group of The Carolinas Inpatient Medicine, Spartanburg, SC 29303 | 2006-08-02 |
| Street Address |
1217 RIVERSIDE AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628396 | Richard A Hohm | Surgery | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2005-09-02 |
| 1396356127 | Ana Cloeter | Case Manager/Care Coordinator | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-08-14 |
| 1083223937 | Aaron L Lesser | Case Manager/Care Coordinator | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-07-27 |
| 1619585205 | Alissa Stokes | Case Manager/Care Coordinator | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-07-20 |
| 1841808441 | Ruth Carrothers | Case Manager/Care Coordinator | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-07-20 |
| 1235754417 | Beth Mcclenathan | Registered Nurse | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-06-12 |
| 1992329684 | Alyssa King | Registered Nurse | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-05-29 |
| 1609497809 | Summitstone Health Partners | Clinic/Center | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-04-29 |
| 1114546413 | Jacque Wallis | Registered Nurse | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-04-16 |
| 1316575350 | Kyle Turner | Case Manager/Care Coordinator | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155493 | Ashleigh Jones | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2020-02-05 |
| 1871125195 | Bianca Tippie | Peer Specialist | 2001 S Shields St Ste G, Fort Collins, CO 80526-1834 | 2020-02-05 |
| 1013549344 | Kayleigh Harris | Peer Specialist | 242 Conifer St, Fort Collins, CO 80524-2043 | 2020-02-05 |
| 1255976098 | Ricky Davis | Peer Specialist | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2019-11-15 |
| 1306488846 | Corina Haley Miller | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-10-16 |
| 1154895738 | Susan Barnes | Peer Specialist | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2019-01-16 |
| 1811393002 | James S Lucas | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2014-11-14 |
| 1164828497 | Evan Lloyd | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2014-11-13 |
| 1649607110 | Amie Potter | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2013-09-30 |
| 1386070548 | Joel Sanford | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2013-09-19 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on LISA L CARLSON.
| 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.