LISA M NOWORATZKY, MS, MFT - NPI NUMBER 1679858534

Summary

Provider Name: LISA M NOWORATZKY, MS, MFT

NPI Number: 1679858534

Clasification: Marriage & Family Therapist (106H00000X)

Address:
926 S. 8TH ST.
MANITOWOC, WI
ZIP 54220

Phone Number: (920) 645-1939



Detailed Information

Lisa M Noworatzky, MS, MFT is a marriage & family therapist in Manitowoc, WI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. The assigned NPI number for this provider is 1679858534 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

926 S. 8TH ST.
MANITOWOC, WI
ZIP 54220
Phone: (920) 645-1939

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 106H00000X Marriage & Family Therapist 194-228 WI Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1679858534 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
3 Provider Last Name Legal Name NOWORATZKY The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name LISA The first name of the provider, if the provider is an individual.
5 Provider Middle Name M The middle name of the provider, if the provider is an individual.
6 Provider Credential Text MS, MFT The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider Other Last Name NOWORATZKY-ANDERSON Other last name by which the provider being identified is or has been known.
8 Provider Other First Name LISA Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
9 Provider Other Middle Name M Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
10 Provider Other Credential Text MS, MFT The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
11 Provider Other Last Name Type Code 1 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
12 Provider First Line Business Practice Location Address 926 S. 8TH ST. The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
13 Provider Business Practice Location Address City Name MANITOWOC The city name in the location address of the provider being identified.
14 Provider Business Practice Location Address State Name WI The State code in the location of the provider being identified.
15 Provider Business Practice Location Address Postal Code 54220 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
16 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
17 Provider Business Practice Location Address Telephone Number 9206451939 The telephone number associated with the location address of the provider being identified.
18 Provider Enumeration Date 10/11/2011 The date the provider was assigned a unique identifier (assigned an NPI).
19 Last Update Date 10/11/2011 The date that a record was last updated or changed.
20 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
21 Healthcare Provider Taxonomy Code 1 106H00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Provider License Number 1 194-228 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
23 Provider License Number State Code 1 WI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Similar Providers Nearby

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1003230533 PHILIP KNIER, M.ED Individual Marriage & Family Therapist
1376889709 MISS ASHLEY NISCHKE, MA MFT-IT Individual Marriage & Family Therapist
1386751832 MS. JANE A LEPAK JOSTSONS, MS, LMFT, AAMFT Individual Marriage & Family Therapist
1487761581 MS. BARBARA HYDE STOHL, LCSW Individual Marriage & Family Therapist


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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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