Michael Eisenhauer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC4648 Issued in CA

Practice address

5555 Reservoir Dr Ste 309
San Diego, CA 92120-5193

Phone

(888) 588-8995

NPI assigned

Aug 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1780137133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205193",
            "telephone_number": "619-876-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205193",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031407",
            "country_code": "US",
            "telephone_number": "619-421-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11204 Waples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220306036",
            "country_code": "US",
            "telephone_number": "703-218-8500",
            "fax_number": "703-359-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENHAUER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006573",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC4648",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC4648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara B Eisenberg, MA, ED.M.
• Michelle Eisenberg, PT
• Steven G Eisenberg, D.O.
• Heather Lynne Eisenhardt, IDC
• Paula A. Eisenhart, M.D.
• Amy J Eisenhower-Omholt, LMFT
• Alexandra Eisenman
• Maria T Eisenmann, RN, BSN, PHN
• Alicia Eisenstadt, MFT
• Samuel G. Eisenstein, MD

• All providers in San Diego, CA
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.