Lisa Bozzoli, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2543 Issued in KS

Practice address

501 Delaware St Ste 9
Leavenworth, KS 66048-2664

Phone

(913) 489-7099

NPI assigned

Nov 26, 2014

Last updated

Dec 20, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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.

• Kansas Center for Couples and Families

  • Professional Counselor
  • Overland Park, KS
  • NPI 1760946909
  NPD Authorized official
• Mindworx, PA

  • Professional Counselor
  • Leavenworth, KS
  • NPI 1013471226
  NPD Authorized official
• Clinical Associates PA

  • Specialist
  • Lenexa, KS
  • NPI 1477588085
  NPD (past)

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1154728665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E WILLOW DR APT 120",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621852",
            "telephone_number": "913-314-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DELAWARE ST STE 9",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482664",
            "telephone_number": "913-489-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZOLI",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald R Booth, RPH
• Jana Borgmeyer, RD, LD
• Allysa Nicole Boswell
• Mitchell William Bowen, PHARM.D
• Samantha Bowsher
• Darren Bradfield, LPC, LMSW
• Natalie B. Bradish, RBT
• Terry Braum
• Christina Marie Bridge, LSCSW
• Jeffery Allen Bridges

• Professional Counselor in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.