Lisa M Erickson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2008036829 Issued in MO

Practice address

2308 SW 10TH St
Lees Summit, MO 64081-3749

Phone

(816) 500-2774

Fax

(816) 525-2146

NPI assigned

Mar 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• BPH LLC

  • Professional Counselor
  • Kansas City, MO
  • NPI 1770989303
  NPD (past)
• John T Bopp PC

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1447292180
  NPD (past)

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1205077237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SW 10TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813749",
            "telephone_number": "816-500-2774",
            "fax_number": "816-525-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SW 10TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813749",
            "telephone_number": "816-500-2774",
            "fax_number": "816-525-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2008036829",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "5733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Envision Eyecare, LLC
• Jennifer I Enyeribe
• Epc Mo Aco LLC
• Karen L Epperson, M.D
• Krystina Erichsen
• Erin Neill Bromley, DDS
• Craig A Erisman, PSY.D.
• Dawn A. Ertel, O.D.
• Alexander Ervin
• Nina Escobar Petersen, LCSW

• Mental Health Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.