LISA MARIE LANDERER CPRSS NPI 1942790175

NPI Information

NPI: 1942790175
Provider Name: LISA MARIE LANDERER, CPRSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
228 N BARRON ST
EATON, OH
ZIP 45320
Phone: (937) 456-7694
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Lisa Marie Landerer, CPRSS is a peer specialist in Eaton, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Lisa Marie Landerer, CPRSS NPI is 1942790175. 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:

228 N BARRON ST
EATON, OH
ZIP 45320-704
Phone: (937) 456-7694

The enumeration date for this NPI number is 5/14/2018 and was last updated on 8/1/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA170872	OHIO	No
2	175T00000X	Peer Specialist		00600	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00600	OTHER	OHIO	OHIO MENTAL HEALTH AND ADDICTION SERVICES

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: 4/28/2024

NPI Synchronization or Removal

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