Lise G Rogers, LPC, NCC
Individual provider Active NPI Counselor · Ava, MO
NPI 1861552267 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861552267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 1999135684 (MO)
- Practice address
- 202 NW 11TH St
Ava, MO 65608 - Phone
- (417) 425-5533
- Fax
- (417) 725-6206
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3100 Broadway Blvd
Suite 410
Kansas City, MO 64111-2655
Phone (816) 587-4900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605000817 | MO | Practitioner - Mental Health Counselor | 4688183189 | Practice locations: Kansas City, MO |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1999135684 | MO | Yes |
Addresses
Primary practice location
202 NW 11TH St
Ava, MO 65608
Mailing address
1978 W Buena Vista St
Springfield, MO 65810-1515
Phone (417) 425-5533
Other providers in Ava, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.