| Lisa Jane Burnham, CSAC, LPC-IT | |
|
115 5th Ave S Ste 504, La Crosse, WI 54601-4079 | |
| (715) 896-4772 | |
| (608) 782-4426 |
| Full Name | Lisa Jane Burnham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 115 5th Ave S Ste 504, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801244025 | NPI | - | NPPES |
| 100060087 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16199-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 3803-226 (Wisconsin) | Primary |
| Entity Name | Peace Of Mind Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861837692 PECOS PAC ID: 6305190166 Enrollment ID: O20181114000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jane Burnham, CSAC, LPC-IT 115 5th Ave S Ste 523, La Crosse, WI 54601-4018 Ph: (715) 896-4772 | Lisa Jane Burnham, CSAC, LPC-IT 115 5th Ave S Ste 504, La Crosse, WI 54601-4079 Ph: (715) 896-4772 |
Alicia S Skiles, QTT Counselor Medicare: Medicare Enrolled Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Rachel R Unseth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 5th Ave S Ste 523, La Crosse, WI 54601 Phone: 608-797-5679 | |
Tanya L Kessen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 205 5th Ave S Ste 508, La Crosse, WI 54601 Phone: 608-387-9638 Fax: 608-377-7488 | |
Samina L Grimes, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 Kane St, La Crosse, WI 54603 Phone: 608-385-4004 | |
Mark L Taylor, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 South Ave, La Crosse, WI 54601 Phone: 608-775-2287 | |
Ms. Elizabeth Lou Bierly, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Deborah Stelmach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Main St Ste 301, La Crosse, WI 54601 Phone: 608-519-5906 Fax: 608-519-5908 |