Active NPI
Lisa L Schultz
- Addiction (Substance Use Disorder) Counselor
- Mora, MN
National Provider Identifier
1043778848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 305028
- Practice address
- 2031 Rowland Rd
Mora, MN 55051-7119 - Phone
- (320) 364-1314
- Fax
- (320) 364-1320
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305028 | MN | Primary |
Addresses
Primary practice location
2031 Rowland Rd
Mora, MN 55051-7119
Mailing address
2031 Rowland Rd
Mora, MN 55051-7119
Phone (320) 364-1314
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 |
|---|---|---|---|
| 305028 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1043778848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 ROWLAND RD",
"city": "MORA",
"state": "MN",
"postal_code": "550517119",
"telephone_number": "320-364-1314",
"fax_number": "320-364-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 ROWLAND RD",
"city": "MORA",
"state": "MN",
"postal_code": "550517119",
"telephone_number": "320-364-1314",
"fax_number": "320-364-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "LISA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mora, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.