LISA LANG LLC (NPI# 1952808701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952808701 |
| Entity Type | Organization |
| Organization Name | LISA LANG LLC |
| Practice Address |
14135 North Cedarburg Road Mequon WI 53097 |
| Mailing Address |
2027 North 71st Street Wauwatosa WI 53213 |
| Practice Telephone | 4147022324 |
| Mailing Telephone | 4147022119 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | MS. LISA LANG (LICENSED PSYCHOTHERAPIST) |
| Authorized Official Telephone | 4147022119 |
| Authorized Official Credential | MS, ATRL-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
51-036 | WI | Behavioral Health & Social Service Providers |
| Y | 221700000X | Art Therapist | 51-036 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ATCB BOARD CERTIFICATION # | 01-226 | 01 | |
| INDIVIDUAL NPI # | 1902985922 | 01 | |
| WI | 40961100 | 05 | |
| WI | PSYCHOTHERAPY LICENSE # | 51-036 | 01 |
| Street Address |
14135 NORTH CEDARBURG ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1598089211 | Jessica Lynn Grimm | Physical Therapist | 12800 N Lake Shore Dr, Mequon, WI 53097 | 2010-03-24 |
| 1164611497 | Joan T. Harney Gnadt, Md, Sc | Internal Medicine | 13133 N Port Washington Rd, Suite 11, Mequon, WI 53097 | 2007-10-23 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681479 | Kelly Thompson | Art Therapist | 534 E Green Bay Ave, Saukville, WI 53080-2012 | 2019-10-22 |
| 1871147561 | Sarah Braun Otten | Art Therapist | 1747 Barton Ave, West Bend, WI 53090-1905 | 2019-07-30 |
| 1255891602 | Vlatko Sagud | Art Therapist | 7801 W Locust St, Milwaukee, WI 53222-4930 | 2019-03-21 |
| 1164732475 | Rosemary B Pearson | Art Therapist | 9974 272nd Ave, Trevor, WI 53179-9797 | 2010-10-20 |
| 1134366966 | Gretchen Aveni | Art Therapist | 3023 Woodford Dr, West Bend, WI 53090-1157 | 2009-01-15 |
| 1932318433 | Anne B. Rakow-weist | Art Therapist | 4029 Willowtree Ln, De Pere, WI 54115-8682 | 2007-05-21 |
| 1003022401 | Cynthia R Brune | Art Therapist | 5151 W Silver Spring E, Wing A3 Willowglen Therapy Associates, Milwaukee, WI 53218 | 2007-05-15 |
| 1417173568 | Laura Martha Griffin | Art Therapist | 1305 Saint Clair Ave, Sheboygan, WI 53081-3233 | 2007-04-17 |
| 1023164837 | Michael Alan Hoelzer | Art Therapist | 2245 N 66th St, Wauwatosa, WI 53213-2037 | 2007-01-25 |
| 1568524643 | Jeanne S Zilske | Art Therapist | 12630 W North Ave, Eastbrook Office Park, Brookfield, WI 53005-4626 | 2006-12-14 |
| 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.