Lisa L. Mikesell LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

992369 Issued in CO

Legal business name

LISA L. MIKESELL LLC

Doing business as

Journey Counseling Center, LLC

Practice address

1801 Sunset PL Ste a
Longmont, CO 80501-6575

Phone

(303) 776-1117

Fax

(303) 485-2323

NPI assigned

Jul 2, 2017

Organization subpart

No

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

Authorized official

Name

Lisa Lee Mikesell, LCSW CACIII

Title

Psychotherapist

Phone

(303) 776-1117

Specialties & licenses 1

Addresses

Other names 1

• Journey Counseling Center, LLC Doing business as

Locations

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

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498953600000",
    "number": "1407377245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GAY CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011876",
            "telephone_number": "303-249-7910",
            "fax_number": "303-485-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SUNSET PL STE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016575",
            "telephone_number": "303-776-1117",
            "fax_number": "303-485-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA L. MIKESELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-02",
        "last_updated": "2017-07-02",
        "status": "A",
        "authorized_official_last_name": "MIKESELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-776-1117",
        "authorized_official_credential": "LCSW CACIII"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "992369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey Counseling Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth C Linder, MA, MT-BC
• Brooke McRae Lindquist, M.S.W., M.A.
• Elizabeth Lingg, M.A CCC-SLP
• Emily Charise Lingle, LPC
• Tracy E Lippard, M.D.
• Elizabeth Ruth Litfin, LPC
• John Litterine-Kaufman, VMD
• Evan Matthew Little, P.T.
• Brian Liu, DO
• Kaia Rose Livingstone, PSYCHOTHERAPIST

• Adult Mental Health Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2017; 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.