Individual provider Active NPI

Lisa Menninger, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1376156794
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10846445-6004 Issued in UT
Practice address
155 E 900 S Ste 11
Salt Lake City, UT 84111-4267
Phone
(970) 639-0876
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 10846445-6004 UT Primary

Addresses

Primary practice location

155 E 900 S Ste 11
Salt Lake City, UT 84111-4267

Mailing address

1512 E 3115 S
Salt Lake City, UT 84106-3456

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL therapynotes.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 9, 2026 through Mar 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10846445-6004UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1376156794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E 3115 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E 900 S STE 11",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114267",
            "telephone_number": "970-639-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNINGER",
        "first_name": "LISA",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10846445-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 E 900 S Ste 11",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841114267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.