LISA DOUTHERD (NPI# 1831333509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831333509 |
| Entity Type | Individual |
| Full Name | LISA DOUTHERD |
| Credential | LLPC, BSW |
| Practice Address |
306 W Willow St Lansing MI 48906-4740 |
| Mailing Address |
5031 Park Lake Rd East Lansing MI 48823-3835 |
| Practice Telephone | 5177023500 |
| Practice Fax Number | 5174845169 |
| Mailing Telephone | 5173320811 |
| Mailing Fax Number | 5173324452 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401012198 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6802074536 | MI | Behavioral Health & Social Service Providers |
| Street Address |
306 W WILLOW ST |
| City | LANSING |
| State | MI |
| Zip Code | 48906-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053539460 | County of Ingham | Clinic/Center | 306 W Willow St, Lansing, MI 48906-4740 | 2007-04-23 |
| 1023652880 | Amanda Schoeppe | Social Worker | 306 W Willow St, Lansing, MI 48906-4740 | 2019-11-04 |
| 1285007740 | County of Ingham | Public Health or Welfare | 306 W Willow St, Lansing, MI 48906-4740 | 2015-11-05 |
| 1861823684 | Milisa Rahme | Social Worker | 306 W Willow St, Lansing, MI 48906-4740 | 2013-12-04 |
| 1356585392 | Shalaine K Davis | Social Worker | 306 W Willow St, Lansing, MI 48906-4740 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126595 | Mallory Godin | Counselor | 14509 Boichot Rd, Lansing, MI 48906 | 2018-12-31 |
| 1184133654 | Derrick Ray Lewis II | Technician | 3209 Trillium Drive, Lansing, MI 48906 | 2017-09-27 |
| 1497184329 | Michelle Ann Munson-mccorry | Registered Nurse | 1108 Ballard, Lansing, MI 48906 | 2013-11-01 |
| 1497190961 | Guided Choices | Registered Nurse | 2812 N Martin Luther King Jr Blvd, Lansing, MI 48906 | 2013-05-09 |
| 1154665677 | Agape Chiro Med of Michigan, LLC | Chiropractor | 1029 E Saginaw Street, Lansing, MI 48906 | 2012-11-21 |
| 1306143771 | Wayne County Physical Therapy, LLC | Clinic/Center | 1029 E Saginaw, Lansing, MI 48906 | 2011-02-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| 1922173103 | Linda Sue Hughes | Nurse Practitioner | 1717 N. High Street, Lansing, MI 48906 | 2006-11-22 |
| 1124102207 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 1035 Mak-tech Drive, Lansing, MI 48906 | 2006-10-25 |
| 1689777252 | Plastic & Cosmetic Surgeons PC | Plastic Surgery | 1219 East Saginaw Street, Lansing, MI 48906 | 2006-09-07 |
| Find all providers in zip 48906 | ||||
| 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 |
|---|---|---|---|---|
| 1215566757 | Ezekiel Moreno | Counselor | 1412 Bentwood Dr, Lansing, MI 48917-2035 | 2020-04-06 |
| 1225503576 | Danielle Greve | Counselor | 5904 Cabrena Dr, Lansing, MI 48917-1263 | 2018-10-12 |
| 1073029880 | Re-inventing Yourself Counsultation LLC | Counselor | 913 W Holmes Rd Ste 178a, Lansing, MI 48910-0434 | 2017-12-18 |
| 1003270133 | Stephanie Gogarn | Counselor | 5010 Delbrook Ave, Lansing, MI 48910-5386 | 2016-04-05 |
| 1659747632 | Darryl Steele | Counselor | 838 Edgemont Blvd Apt 5, Lansing, MI 48917-2227 | 2015-08-13 |
| 1407236284 | Marianne Oren | Counselor | 2200 Boston Blvd, Lansing, MI 48910-2460 | 2015-06-05 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1982004800 | Ajaunta Turner | Counselor | 3419 Davidson Dr, Lansing, MI 48910-4487 | 2014-08-28 |
| 1508273202 | Julia Dawson | Counselor | 913 W Holmes Rd Ste 135, Lansing, MI 48910-0436 | 2014-07-15 |
| 1235561242 | Kathryn Ann Stephens | Counselor | 2580 Eaton Rapids Rd, Lansing, MI 48911-6307 | 2013-07-31 |
| Find all providers in LANSING | ||||
Please comment or provide details below to improve the information on LISA DOUTHERD.
| 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.