Active NPI
Lisa Marie Sanders, CDCA 165881
- School Counselor
- Cincinnati, OH
National Provider Identifier
1003432303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 165881
- Practice address
- 7350 Montgomery Rd Ste 516
Cincinnati, OH 45236-7500 - Phone
- (513) 239-7361
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 165881 | OH | Primary |
Addresses
Primary practice location
7350 Montgomery Rd Ste 516
Cincinnati, OH 45236-7500
Mailing address
PO Box 36516
Cincinnati, OH 45236-0516
Phone (513) 239-7361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165881 | OH | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1003432303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36516",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452360516",
"telephone_number": "513-239-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 MONTGOMERY RD STE 516",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452367500",
"telephone_number": "513-239-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "CDCA 165881",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OH",
"license": "165881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.