Individual provider Active NPI

Lisa Creary

  • Peer Specialist
  • Ventura, CA
National Provider Identifier
1477463024
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-PMOTUL Issued in CA
Practice address
4601 Telephone Rd Ste 117
Ventura, CA 93003-5672
Phone
(805) 642-7033
Fax
(805) 852-1906
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-PMOTUL CA Primary

Addresses

Primary practice location

4601 Telephone Rd Ste 117
Ventura, CA 93003-5672

Mailing address

4601 Telephone Rd Ste 117
Ventura, CA 93003-5672
Phone (805) 642-7033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1477463024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 117",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035672",
            "telephone_number": "805-642-7033",
            "fax_number": "805-852-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 117",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035672",
            "telephone_number": "805-642-7033",
            "fax_number": "805-852-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREARY",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-PMOTUL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.