Active NPI
Lisa Janine Hajek, L.M.F.T.
- Marriage & Family Therapist
- Madison, WI
National Provider Identifier
1174535322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 724-124
- Practice address
- 1716 Fordem Ave
Madison, WI 53704-4604 - Phone
- (608) 442-4159
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 724-124 | WI | Primary |
Addresses
Primary practice location
1716 Fordem Ave
Madison, WI 53704-4604
Mailing address
1716 Fordem Ave
Madison, WI 53704-4604
Phone (608) 442-4159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43596000 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Service Society of Wisconsin | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Madison, WI
- NPI 1528232386
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1174535322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 FORDEM AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044604",
"telephone_number": "608-442-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 FORDEM AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044604",
"telephone_number": "608-442-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJEK",
"first_name": "LISA",
"middle_name": "JANINE",
"name_prefix": "Ms.",
"credential": "L.M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "724-124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43596000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.