Active NPI
Lisa Marie Butler, MA, ED.S
- Professional Counselor
- Branson, MO
National Provider Identifier
1144747254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2017030703
- Practice address
- 574 State Highway 248 Ste 2
Branson, MO 65616-7799 - Phone
- (417) 350-5118
- NPI assigned
- Aug 29, 2017
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2017030703 | MO | Primary |
Addresses
Primary practice location
574 State Highway 248 Ste 2
Branson, MO 65616-7799
Mailing address
6542 S Riverbridge Rd
Springfield, MO 65810-3114
Phone (303) 868-2992
Other practice location 1
380 E State Highway Cc Ste F101
Nixa, MO 65714-7677
Phone (573) 202-9404
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017030703 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGuire Christian Counseling Inc. | Past | Accepting new patients | |
| Nixa Behavioral Services, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1912141789
-
- Professional Counselor
- Nixa, MO
- NPI 1952755019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144747254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6542 S RIVERBRIDGE RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658103114",
"telephone_number": "303-868-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 STATE HIGHWAY 248 STE 2",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167799",
"telephone_number": "417-350-5118"
}
],
"practiceLocations": [
{
"address_1": "380 E State Highway Cc Ste F101",
"address_purpose": "LOCATION",
"city": "Nixa",
"state": "MO",
"postal_code": "657147677",
"country_code": "US",
"telephone_number": "573-202-9404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2017030703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.