Lisa Michelle Peetz, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10945 NW Rainmont Rd
Portland, OR 97229-4830

Phone

(503) 646-4387

Fax

(503) 629-8517

NPI assigned

Dec 14, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1992034326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 NW RAINMONT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294830",
            "telephone_number": "503-646-4387",
            "fax_number": "503-629-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 NW RAINMONT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294830",
            "telephone_number": "503-646-4387",
            "fax_number": "503-629-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETZ",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Christine Peel, PHARMD
• Lynda R Peel, MD
• Kelly Peeler
• Karen Peers, LCSW
• Jennifer Marie Peet
• Roma Pegany, MD
• Peggy Thompson LLC
• Guillaume Joe Pegna, M.D.
• Andrew Pegram
• Lisandra Peguero Ruiz

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.