Lisa Marie Blaken-Miller, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3289125 Issued in WI

Practice address

N9710 State Hwy 108
Melrose, WI 54642-8258

Phone

(608) 386-1086

Fax

(608) 488-2161

NPI assigned

May 26, 2007

Last updated

Oct 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peace of Mind Counseling LLC

  • Counselor
  • La Crosse, WI
  • NPI 1861837692
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1073724233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9710 STATE HWY 108",
            "city": "MELROSE",
            "state": "WI",
            "postal_code": "546428258",
            "telephone_number": "608-386-1086",
            "fax_number": "608-488-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9710 STATE HWY 108",
            "city": "MELROSE",
            "state": "WI",
            "postal_code": "546428258",
            "telephone_number": "608-386-1086",
            "fax_number": "608-488-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEN-MILLER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3289125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Chrisinger
• Tiffany Rose Gray
• Just a Horse Rescue and Sanctuary, Inc.
• Melrose-Mindoro Area Schools
• April Sue Rostvold

• Mental Health Counselor in Melrose, WI
• Providers in Melrose, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.