Lisa Marie Soleymani-Alizadeh, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018030575 Issued in MO

Practice address

18405 Kristi Rd E
Liberty, MO 64068-8567

Phone

(816) 200-7087

NPI assigned

Apr 4, 2017

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 names 1

• Lisa Marie Burks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Nebo Hill Sanctuary LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Liberty, MO
  • NPI 1821789850
  NPD Authorized official
• Sebastian Family Psycholgy Practice

  • Professional Counselor
  • Glendale, WI
  • NPI 1124441373
  NPD (past)
• Sebastian Family Psycholgy Practice

  • Mental Health Counselor
  • Glendale, WI
  • NPI 1316360092
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1548793938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18405 KRISTI RD E",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640688567",
            "telephone_number": "816-200-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18405 KRISTI RD E",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640688567",
            "telephone_number": "816-200-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEYMANI-ALIZADEH",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018030575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BURKS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Smock, LMSW
• Paul L Smock, PH.D.
• Sean Sneen
• Jeffrey G. Snow, ATC
• Ryan R Snyder, M.D.
• Eva Sosa
• Sheree Lynn Sotheran, R.P.T.
• Kuri Adriel Soto
• Jana Kay Soule, NP
• Dwarakraj Soundarraj, M.D.

• Professional Counselor in Liberty, MO
• Providers in Liberty, MO by specialty
• Professional Counselor in Missouri

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