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

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.

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

LicenseStateTypeSpecialty
3088125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Psychotherapy Services LLC Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40958600MedicaidWI

Other providers in Whitewater, WI

All providers in Whitewater, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.