Individual provider Active NPI

Lisa M. Steffl, MS, ATR-L-BC

  • Art Therapist
  • Watertown, WI
National Provider Identifier
1649331877
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
55-036 Issued in WI
Practice address
804 Red Fox CT
Watertown, WI 53094-7725
Phone
(920) 261-9268
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 55-036 WI Primary

Addresses

Primary practice location

804 Red Fox CT
Watertown, WI 53094-7725

Mailing address

804 Red Fox CT
Watertown, WI 53094-7725
Phone (920) 261-9268

Other identifiers 1

IdentifierTypeStateIssuer
55-036OtherWIART THERAPIST

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
55-036WIMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1649331877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 RED FOX CT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530947725",
            "telephone_number": "920-261-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 RED FOX CT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530947725",
            "telephone_number": "920-261-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFL",
        "first_name": "LISA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MS, ATR-L-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "WI",
            "license": "55-036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPIST",
            "identifier": "55-036",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.