Active NPI
Lisa Prosser-Dodds, LPC
- Mental Health Counselor
- Independence, MO
National Provider Identifier
1235265760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MO2130
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MO2130 | MO | MD | Counselor |
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
- Private Healthcare Facilities
- Dawn Lara Privett, RD
- Promising Heights, Corp
- Prompt Medical Clinic Inc (Mid-America Internal Medicine)
- Prompt Medical Clinic Inc. (Enhanced Health and Wellness)
- Katrina L Pruitt, MS, NCC
- Marchelle Pryor
- Dominick I Pugh, MSW, LMSW
- Lyda D Pung, D.O.
- Kulnarin Gay Purcell, M.D.
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.