Active NPI
Lisa F Allen, AOD
- Addiction (Substance Use Disorder) Counselor
- Ventura, CA
National Provider Identifier
1093746273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 5225 Telegraph Rd
Ventura, CA 93003-4113 - Phone
- (805) 765-6495
- Fax
- (805) 765-6490
- NPI assigned
- Jul 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY15636 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
5225 Telegraph Rd
Ventura, CA 93003-4113
Mailing address
5225 Telegraph Rd
Ventura, CA 93003-4113
Phone (805) 765-6495
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598786352 | Medicaid | CA | |
| 1356344758 | Medicaid | CA | |
| 1528072386 | Medicaid | CA | |
| 237310613 | Other | CA | BX/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15636 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1093746273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930034113",
"telephone_number": "805-765-6495",
"fax_number": "805-765-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930034113",
"telephone_number": "805-765-6495",
"fax_number": "805-765-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LISA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "AOD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15636",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598786352",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356344758",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528072386",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX/BS",
"identifier": "237310613",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.