Individual provider Active NPI

Lisa Prosser-Dodds, LPC

  • Mental Health Counselor
  • Independence, MO
National Provider Identifier
1235265760
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MO2130 Issued in MO
Practice address
19401 E US Highway 40
Ste 140
Independence, MO 64055-5450
Phone
(816) 373-6761
Fax
(816) 373-6761
NPI assigned
Feb 26, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MO2130 MO
Mental Health Counselor 101YM0800X MO2130 MO Primary

Addresses

Primary practice location

19401 E US Highway 40
Ste 140
Independence, MO 64055-5450

Mailing address

19401 E US Highway 40
Ste 140
Independence, MO 64055-5450
Phone (816) 373-6761

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

LicenseStateTypeSpecialty
MO2130MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235265760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "STE 140",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555450",
            "telephone_number": "816-373-6761",
            "fax_number": "816-373-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "STE 140",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555450",
            "telephone_number": "816-373-6761",
            "fax_number": "816-373-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER-DODDS",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "MO2130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "MO2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.