Ms Lise Anthonissen, MA, LPC | |
7400 E Crestline Cir Ste 145, Greenwood Village, CO 80111-3656 | |
(720) 706-1944 | |
Not Available |
Full Name | Ms Lise Anthonissen |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 7400 E Crestline Cir Ste 145, Greenwood Village, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750957825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0016411 (Colorado) | Primary |
101YM0800X | Counselor - Mental Health | LPC.0016411 (Colorado) | Secondary |
Entity Name | Tiger & Bolt Managed Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841938180 PECOS PAC ID: 3173993011 Enrollment ID: O20230110001797 |
Mailing Address | Practice Location Address |
---|---|
Ms Lise Anthonissen, MA, LPC 2680 S Holman St, Lakewood, CO 80228-5315 Ph: (650) 272-1956 | Ms Lise Anthonissen, MA, LPC 7400 E Crestline Cir Ste 145, Greenwood Village, CO 80111-3656 Ph: (720) 706-1944 |
Peggy A. Salazar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5650 Greenwood Plaza Blvd, Suite 202, Greenwood Village, CO 80111 Phone: 303-503-0372 | |
Ms. Georgia Dee Hitchcock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5660 Greenwood Plaza Blvd., 506, Greenwood Village, CO 80111 Phone: 303-722-6640 Fax: 720-488-6701 | |
Rebecca Anne Saltzman, MA, NCC. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7950 E Prentice Ave, #201, Greenwood Village, CO 80111 Phone: 720-300-2424 Fax: 303-771-0369 | |
Mrs. Abigail Joy Randall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111 Phone: 630-740-9702 | |
Sarah Thomas, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111 Phone: 720-443-1602 | |
Natalie Suzanne Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 E Crestline Cir Ste 145, Greenwood Village, CO 80111 Phone: 720-706-1944 | |
Suandria Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Dtc Pkwy Ste 306, Greenwood Village, CO 80111 Phone: 720-772-6967 |