Individual provider Active NPI

Lisa Sharon Stein, LMFT

  • Mental Health Counselor
  • Petaluma, CA
National Provider Identifier
1487720231
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC33563 Issued in CA
Practice address
7 Fourth St Ste 7
Petaluma, CA 94952-3072
Phone
(707) 766-8567
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC33563 CA Primary

Addresses

Primary practice location

7 Fourth St Ste 7
Petaluma, CA 94952-3072

Mailing address

7 Fourth St Ste 7
Petaluma, CA 94952-3072
Phone (707) 766-8567

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC33563CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Services by Lisa Stein, LMFT CurrentSince Sep 8, 2019 Accepting new patients

Locations

7 4th St
Ste 7
Petaluma, CA 94952
Phone (707) 637-3022

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1487720231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FOURTH ST STE 7",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523072",
            "telephone_number": "707-766-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FOURTH ST STE 7",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523072",
            "telephone_number": "707-766-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "LISA",
        "middle_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC33563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.