Carol Lieser Pmhnp PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

462622/AP108300

Legal business name

CAROL LIESER PMHNP PLLC

Practice address

4425 W Airport Fwy
Ste 244
Irving, TX 75062

Phone

(972) 252-2945

Fax

(888) 975-2092

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Carol Lieser, PHD APRN PMHNP BCNPI 1245275825

Title

Owner/Psych Mental Health Nurse Pra

Phone

(817) 914-4168

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• In His Image Psychiatry Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol S Lieser, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
  • NPI 1245275825
  NPD (past) Authorized official
• Eleanor Baars Moser, LPC

  • Professional Counselor
  • Irving, TX
  • NPI 1366110835
  NPD (past)
• Winona Beline Rapose, LPC-A

  • Mental Health Counselor
  • Irving, TX
  • NPI 1982365318
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1972043669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY",
            "address_2": "STE 244",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-252-2945",
            "fax_number": "888-975-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY",
            "address_2": "STE 244",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-252-2945",
            "fax_number": "888-975-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL LIESER PMHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "LIESER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/PSYCH MENTAL HEALTH NURSE PRA",
        "authorized_official_telephone_number": "817-914-4168",
        "authorized_official_credential": "PHD APRN PMHNP BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": "462622/AP108300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "NP7659",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In His Image Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caris Mpi, Inc.
• Caris Mpi, Inc.
• James Paul Carleo, MD
• Carolyn R Carman, OD
• Kristen Richeson Carmichael, M.D.
• Caroline G Ferris PLLC
• Kayleigh Carpenter, BCBA
• Brendan Carr, LMT
• Emilie Carr
• Aimee Carrasco, MED, LPC, NCC

• Psychiatric/Mental Health Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.