Individual provider Active NPI

Lisa Ann Schara, CSAC ICS

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1235435405
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15362-135 Issued in WI
Practice address
2914 Industrial Dr
Madison, WI 53713-4047
Phone
(608) 223-3311
Fax
(608) 223-3304
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15362-135 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11200-132 WI

Addresses

Primary practice location

2914 Industrial Dr
Madison, WI 53713-4047

Mailing address

2914 Industrial Dr
Madison, WI 53713-4047
Phone (608) 223-3311

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
11200-132WIMDAddiction (Substance Use Disorder) Counselor
15362-135WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1235435405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 INDUSTRIAL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134047",
            "telephone_number": "608-223-3311",
            "fax_number": "608-223-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 INDUSTRIAL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134047",
            "telephone_number": "608-223-3311",
            "fax_number": "608-223-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARA",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CSAC ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15362-135",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11200-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 4, 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.

Verify at the official NPI Registry.