MRS. LISA M. MARTIRENA LCPC MT-BC NPI 1720210719

NPI Information

NPI: 1720210719
Provider Name: MRS. LISA M. MARTIRENA, LCPC, MT-BC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10540 S WESTERN AVE
STE. 200
CHICAGO, IL
ZIP 60643
Phone: (773) 319-8138
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MRS. Lisa M. Martirena, LCPC, MT-BC is a mental health counselor in Chicago, IL. MRS. Lisa M. Martirena, LCPC, MT-BC NPI is 1720210719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10540 S WESTERN AVE
STE. 200
CHICAGO, IL
ZIP 60643-536
Phone: (773) 319-8138

The enumeration date for this NPI number is 8/10/2009 and was last updated on 4/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	101YM0800X	Counselor	Mental Health	180008411	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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