Lisa L Mikesell, LCSW CACIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992369 Issued in CO

Practice address

1801 Sunset PL a
Longmont, CO 80501-6575

Phone

(303) 776-1117

Fax

(303) 485-2323

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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)

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.

• Counseling Services of Longmont

  • Addiction (Substance Use Disorder) Counselor
  • Longmont, CO
  • NPI 1609224690
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1891817128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SUNSET PL A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016575",
            "telephone_number": "303-776-1117",
            "fax_number": "303-485-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SUNSET PL A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016575",
            "telephone_number": "303-776-1117",
            "fax_number": "303-485-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "992369",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "992369",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Christopher DMD LLC
• Michele Forsberg PT, PC
• Kelli Middleton, PTA
• Laurissa Miech
• Kevin Russell Mikalaitis
• Kristen Mildenberger, LCSW
• Milestone Medical Group Inc
• Denise M Miller, MD
• Laurel Mackey Miller, DIPL. AC.
• Rebecca Yvonne Miller, PA-C

• Clinical Social Worker in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.