MS. LISA GAYE SIMON (NPI# 1770610388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770610388 |
| Entity Type | Individual |
| Full Name | MS. LISA GAYE SIMON |
| Credential | LAC |
| Practice Address |
3431 4th Ave Sw Suite H Fargo ND 58103-2227 |
| Practice Telephone | 7012988108 |
| Practice Fax Number | 7012977901 |
| Mailing Telephone | 7012988108 |
| Mailing Fax Number | 7012977901 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1318 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457916678 | Lisa Ann Simon | Developmental Therapist | 6415 Elm St Apt 4b, Morton Grove, IL 60053-2640 | 2019-05-02 |
| 1588114961 | Lisa Marie Simon | Audiologist | 29201 Telegraph Road, Suite 500, Southfield, MI 48034 | 2016-10-10 |
| 1588087019 | Lisa Simon | Speech-Language Pathologist | 3281 Upton Ave Rm 2226, Toledo, OH 43613-5109 | 2014-02-04 |
| 1891952065 | Lisa Simon | Counselor | 1515 Market St, Suite 1910, Philadelphia, PA 19102-1921 | 2008-05-16 |
| 1790957694 | Lisa Gindy Simon | Specialist | 305 Ne Loop 820, Business Tower 1, Suite 200, Hurst, TX 76053 | 2008-03-31 |
| 1902016835 | Lisa A. Simon | Occupational Therapist | 907 Fairway Farms Ln, Kingwood, TX 77339-2903 | 2007-05-22 |
| 1730594458 | Lisa Simon | Dentist | 75 Francis St, Boston, MA 02115-6106 | 2014-06-23 |
| 1740604545 | Lisa Zunich Simon | Counselor | 270 Bradenton Ave Ste 110, Dublin, OH 43017-7586 | 2014-02-13 |
| 1194095356 | Lisa Simon | Pharmacist | 773-775 9th Ave, New York, NY 10019-6336 | 2012-01-05 |
| 1578704540 | Lisa Marie Simon | Counselor | 110 N Mill St, Festus, MO 63028-1816 | 2009-03-20 |
| Street Address |
3431 4TH AVE SW SUITE H |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1689146102 | Patricia Sue Tallakson | Counselor | 808 3rd Ave S Ste 303, Fargo, ND 58103-1865 | 2018-12-21 |
| 1396128062 | Wendy Regner | Counselor | 5574 Bishops Blvd S, Fargo, ND 58104-7251 | 2015-06-30 |
| 1497170245 | Haley Nudell | Counselor | 1330 Page Dr S, 3b, Fargo, ND 58103-3500 | 2014-03-03 |
| 1518302611 | Holly R Sabelman Miller | Counselor | 813 21st St S, Fargo, ND 58103-2437 | 2013-05-02 |
| 1982048351 | Hannah M. Ritteman | Counselor | 1128 Westrac Dr S Ste A, Fargo, ND 58103-8729 | 2013-04-29 |
| 1306149323 | Ashley Lynn Stielow | Counselor | 112 University Dr N Ste 300, Fargo, ND 58102-4661 | 2010-12-14 |
| 1467677690 | Claudia Marie Mcgrath | Counselor | 417 38th St S, Suite B, Fargo, ND 58103-6508 | 2007-04-14 |
| 1477698876 | Counseling Center Inc | Counselor | 1111 Westrac Dr, Suite 204, Fargo, ND 58103-2384 | 2007-02-21 |
| 1801999461 | John Gerard Altendorf | Counselor | 1351 Page Dr S Ste 100, Fargo, ND 58103-3536 | 2006-09-07 |
| 1699883363 | Elizabeth A Brossart | Counselor | 3309 Fiechtner Dr S Ste H, Fargo, ND 58103-2375 | 2006-08-25 |
| Find all providers in FARGO | ||||
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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.