Individual provider Active NPI

Lisa M. Goetz, LPCC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1154746212
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
774-3-1-14-355 Issued in ND
Practice address
4007 State St Ste 20
Bismarck, ND 58503-0637
Phone
(701) 751-8060
Fax
(701) 751-8060
NPI assigned
Feb 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 774-3-1-14 ND
Professional Counselor 101YP2500X 774-3-1-14A ND
Professional Counselor 101YP2500X 774-3-1-14-355 ND Primary

Addresses

Primary practice location

4007 State St Ste 20
Bismarck, ND 58503-0637

Mailing address

4007 State St Ste 20
Bismarck, ND 58503-0637
Phone (701) 751-8060

Other identifiers 1

IdentifierTypeStateIssuer
1463183MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001267 ND Practitioner - Mental Health Counselor 3971875477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corner Post Counseling PLLCGroup PAC ID 8628412533, 2 clinicians

Practice addresses (Care Compare)

1702 E Main St
Suite 101
Mandan, ND 58554-3818
Phone (701) 751-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Post Counseling, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

200 E Main Ave
Ste 202
Bismarck, ND 58501
Phone (701) 400-5472

4007 State St
Ste 20
Bismarck, ND 58503
Phone (701) 751-8060

1702 E Main St
Ste 101
Mandan, ND 58554
Phone (701) 751-8060

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1154746212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 STATE ST STE 20",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030637",
            "telephone_number": "701-751-8060",
            "fax_number": "701-751-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 STATE ST STE 20",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030637",
            "telephone_number": "701-751-8060",
            "fax_number": "701-751-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "774-3-1-14",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "774-3-1-14A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "774-3-1-14-355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463183",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.