Active NPI
Lisa Cernick, MA, LPC
- Mental Health Counselor
- Commerce City, CO
National Provider Identifier
1366505349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3001
- Practice address
- 4371 E 72ND Ave
Commerce City, CO 80022-1471 - Phone
- (303) 853-3712
- Fax
- (303) 289-6962
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3001 | CO | Primary |
Addresses
Primary practice location
4371 E 72ND Ave
Commerce City, CO 80022-1471
Mailing address
4371 E 72ND Ave
Commerce City, CO 80022-1471
Phone (303) 853-3712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001 | Other | CO | LPC NUMBER |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366505349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 E 72ND AVE",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800221471",
"telephone_number": "303-853-3712",
"fax_number": "303-289-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 E 72ND AVE",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800221471",
"telephone_number": "303-853-3712",
"fax_number": "303-289-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNICK",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "3001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC NUMBER",
"identifier": "3001",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.