Individual provider Active NPI

Lisa Michelle Ronning-Dickson, ED, M, MHP

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1255636387
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60258554 Issued in WA
Practice address
750 Swift Blvd
Suite 20
Richland, WA 99352-3521
Phone
(509) 792-0277
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60258554 WA Primary

Addresses

Primary practice location

750 Swift Blvd
Suite 20
Richland, WA 99352-3521

Mailing address

750 Swift Blvd
Suite 20
Richland, WA 99352-3521
Phone (509) 792-0277

Other names 1

  • Lisa Michelle Ronning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809000918 WA Practitioner - Mental Health Counselor 2860939758 Practice locations: Richland, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Swift Blvd
Suite 20
Richland, WA 99352-3521
Phone (509) 792-0277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1255636387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SWIFT BLVD",
            "address_2": "SUITE 20",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523521",
            "telephone_number": "509-792-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SWIFT BLVD",
            "address_2": "SUITE 20",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523521",
            "telephone_number": "509-792-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNING-DICKSON",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "ED, M, MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60258554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RONNING",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.