Lisa Christine Mitchell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

646 Gold Leaf CT
Grand Junction, CO 81505-1069

Phone

(503) 422-3993

NPI assigned

Apr 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, OR2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  OR

  Medicare reassignment NPD
• Lisa Mitchell LCSW, LLC

  • Clinical Social Worker
  • Grand Junction, CO
  • NPI 1487245411
  Authorized official Same address or phone

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1104406222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 PATTERSON RD STE 2-100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068814",
            "telephone_number": "503-422-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 GOLD LEAF CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051069",
            "telephone_number": "503-422-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind & Muscle Medicine, LLC
• Mind Springs, Inc
• Mindful Valley Counseling, LLC
• Irene Monica Minkoff, MD
• Mint Health LLC (Mint Health Clinics)
• Sabrina Lorraine Mitchell, DO
• Stephen Whitefield Mitchell, MDIV, MA, LPC, PLMFT
• Todd N. Mitchell, D.C.
• Milton Bret Mixon, BCBA, CCC-SLP
• Shan Mixon, MA, LPC

• Clinical Social Worker in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.