Active NPI
Lisa Marie Dockter, MS, LCPC
- Professional Counselor
- Garden City, KS
National Provider Identifier
1174620744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC 356
- Practice address
- 1807 E Mary St
10
Garden City, KS 67846-7602 - Phone
- (620) 276-1500
- Fax
- (620) 276-1548
- NPI assigned
- Sep 17, 2006
- 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 | LCPC 356 | KS | Primary |
Addresses
Primary practice location
1807 E Mary St
10
Garden City, KS 67846-7602
Mailing address
1807 E Mary St
10
Garden City, KS 67846-7602
Phone (620) 276-1500
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 356 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174620744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 E MARY ST",
"address_2": "10",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678467602",
"telephone_number": "620-276-1500",
"fax_number": "620-276-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 E MARY ST",
"address_2": "10",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678467602",
"telephone_number": "620-276-1500",
"fax_number": "620-276-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKTER",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LCPC 356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.