Active NPI
Lisa L Ladendorff, LCSW
- Mental Health Counselor
- La Grande, OR
National Provider Identifier
1043239767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 105 Fir St
Suite 332
La Grande, OR 97850-2661 - Phone
- (541) 805-5502
- Fax
- (541) 963-5272
- NPI assigned
- Jul 19, 2006
- Last updated
- Apr 14, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Professional Counselor | 101YP2500X | NU | ||
| School Social Worker | 1041S0200X | L2326 | OR |
Addresses
Primary practice location
105 Fir St
Suite 332
La Grande, OR 97850-2661
Mailing address
2708 N Ash St
La Grande, OR 97850-2733
Phone (541) 805-5502
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 |
|---|---|---|---|
| L2326 | OR | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transire, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- La Grande, OR
- NPI 1700024668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1043239767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 N ASH ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502733",
"telephone_number": "541-805-5502",
"fax_number": "541-963-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FIR ST",
"address_2": "SUITE 332",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502661",
"telephone_number": "541-805-5502",
"fax_number": "541-963-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADENDORFF",
"first_name": "LISA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "OR",
"license": "L2326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.