Lisa A Burnell, MED, CADCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

02-R-13 Issued in OR

Practice address

134 SE 5TH Ave Ste C
Hillsboro, OR 97123-4095

Phone

(503) 621-8735

Fax

(503) 214-8911

NPI assigned

Nov 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Journey Healing Arts Center

  • Community/Behavioral Health Agency
  • Hillsboro, OR
  • NPI 1245684992
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1457505117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SE 5TH AVE STE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234095",
            "telephone_number": "503-621-8735",
            "fax_number": "503-214-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SE 5TH AVE STE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234095",
            "telephone_number": "503-621-8735",
            "fax_number": "503-214-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNELL",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MED, CADCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "02-R-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INNER JOURNEY HEALING ARTS CENTER",
            "identifier": "1457404410",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278095",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Bunn, RDH, BSDH, EPDH
• Evan Kendall Burgeson
• Jasmin Rachael Burgess, M.S./ED.S.
• Jessica M Burgess, PA-C
• Savannah Victoria Burke
• Burton Chiropractic LLC
• Kailah Rae Burton
• Whitney Jay Burton, DC
• Ellory Abbott Busch, DDS
• Mary Denise Busch, PMHNP

• Addiction (Substance Use Disorder) Counselor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.