Lisa Bozzoli, LPC
Individual provider Active NPI Professional Counselor · Leavenworth, KS
NPI 1154728665 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1154728665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2543 (KS)
- Practice address
- 501 Delaware St Ste 9
Leavenworth, KS 66048-2664 - Phone
- (913) 489-7099
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2543 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Center for Couples and Families | Professional | Current | Accepting new patients |
| Mindworx, PA | Professional | Current |
Accepting new patients |
| Clinical Associates PA | Past | Accepting new patients |
Locations
501 Delaware St
Ste 9
Leavenworth, KS 66048
Phone (702) 550-9079
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2543 | KS | Yes |
Addresses
Primary practice location
501 Delaware St Ste 9
Leavenworth, KS 66048-2664
Mailing address
1630 E Willow Dr Apt 120
Olathe, KS 66062-1852
Phone (913) 314-5503
Other providers in Leavenworth, KS
- Ronald R Booth
- Jana Borgmeyer
- Allysa Nicole Boswell
- Mitchell William Bowen
- Samantha Bowsher
- Darren Bradfield
- Natalie B. Bradish
- Terry Braum
- Christina Marie Bridge
- Jeffery Allen Bridges
All providers in Leavenworth, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.