LISA M PETERSEN LMHP NPI 1063707305

NPI Information

  • NPI: 1063707305
  • Provider Name: LISA M PETERSEN, LMHP
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 801 HARMONY ST
    SUITE 302
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Phone: (712) 328-2609

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NPI Details

Lisa M Petersen, LMHP is a counselor in Council Bluffs, IA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Lisa M Petersen, LMHP NPI is 1063707305. 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:

801 HARMONY ST
SUITE 302
COUNCIL BLUFFS, IA
ZIP 51503-106
Phone: (712) 328-2609
Fax: (712) 328-9257

The enumeration date for this NPI number is 6/15/2011 and was last updated on 8/3/2015.

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
1101Y00000XCounselor8871NEBRASKANo
2101Y00000XCounselor001501IOWAYes

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: 3/30/2025

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