Lisa Gabardi, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

973 Issued in OR

Practice address

15455 NW Greenbrier Pkwy
Suite 240
Beaverton, OR 97006-7374

Phone

(503) 629-0272

Fax

(503) 617-0475

NPI assigned

Nov 20, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• 2 Roads Crossing Healthcare, PC

  • Acupuncturist
  • Beaverton, OR
  • NPI 1881714061
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942374988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-629-0272",
            "fax_number": "503-617-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-629-0272",
            "fax_number": "503-617-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABARDI",
        "first_name": "LISA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Fuller, PHD, BCBA-D
• Elizabeth Fulsher
• Alysha Marie Furrer, BA
• Stefan Furst
• G & L International, Inc.
• Heidi Jeanne Gabel, PHARMD.
• Ivy Gabriel, PTA
• Jennifer Gabriel
• Shruti Uday Gadkari, OTD, OTR/L, BCP
• Jazmina Gaetano, BCBA, LBA

• Counseling Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Counseling Psychologist in Oregon

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.