Lisa Marie Kinnebrew

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

156411 Issued in CA

Practice address

2020 Hurley Way
Sacramento, CA 95825-3223

Phone

(707) 205-5254

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Plummer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Granite Wellness Centers

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1255526042
  NPD (past)
• Monarch Recovery Centers LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sacramento, CA
  • NPI 1306568183
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1972059434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HURLEY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253223",
            "telephone_number": "707-205-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HURLEY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253223",
            "telephone_number": "707-205-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEBREW",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "156411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PLUMMER",
            "credential": "BS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desirae Denise Kingery, MHAI
• Gagandeep K Kingra, N.P.
• George Jerome Kingsley, D.D.S.
• Tara Marie Kingsley
• Carissa Ann Kiniery
• Charlisse Kinney
• Walter K. Kinney, MD
• Amber Kinnier, OTD, OTR/L
• Donna Jean Kinser, MD
• Karley Dawn Kinsey, RN, OCN

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.