Lisa R Jackert, M.A., M.T.-B.C.

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

CERT # 03815

Practice address

301 Argonne Ave
Long Beach, CA 90814-3110

Phone

(562) 716-0076

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679619381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3136",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908030136",
            "telephone_number": "562-716-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ARGONNE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908143110",
            "telephone_number": "562-716-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKERT",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.A., M.T.-B.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "CERT # 03815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Music Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Music Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.