Lori S Frison, MS
Individual provider Active NPI Professional Counselor · Whitewater, WI
NPI 1457596652 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1457596652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3088125 (WI)
- Practice address
- 162 W Main St Ste G
Whitewater, WI 53190-1995 - Phone
- (608) 359-2727
- Fax
- (608) 531-2060
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3088125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Psychotherapy Services LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3088125 | WI | Yes |
Addresses
Primary practice location
162 W Main St Ste G
Whitewater, WI 53190-1995
Mailing address
162 W Main St Ste G
Whitewater, WI 53190-1995
Phone (608) 359-2727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40958600 | Medicaid | WI |
Other providers in Whitewater, WI
- Fairhaven Corporation
- Jane Rose Fischer
- Anne Flemming-Coburn
- Stacey Foreman
- Ashley French
- Ilse Fritz
- Laura Fritz
- Tamra Fuerst
- John Garlewski
- Kevin Rogers Gelshenen
All providers in Whitewater, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.