Lisa C Broll, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2978-125 Issued in WI

Practice address

533 Prairie View Rd
Williams Bay, WI 53191-3732

Phone

(815) 236-3554

NPI assigned

Jan 22, 2007

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1821141730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PRAIRIE VIEW RD",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913732",
            "telephone_number": "815-236-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROLL",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2978-125",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "2978-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Bruce Arnold, D.D.S.
• Julia Kristi Austin, LCSW
• Benchmark Atlantic Healthcare
• Andrea Lynn Benslimane, MSW, APSW
• Julie A Beyers, PHD
• Paul Erwin Brunn, LCSW
• C.a. Counseling & Consultants, LLC.
• Ashley Ann Carlson, NP
• Eric Carlson, D.C.
• Katherine L Catuara, PSYD

• Counselor in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.