Lisa Goodwin Bollow · Mental Health Counselor

1320 Central Park Blvd Ste 412, Fredericksburg, VA 22401-4959

Overview

Lisa Goodwin Bollow is a Mental Health Counselor practicing in Fredericksburg, Virginia. The National Provider Identifier (NPI) is #1184567471, which was assigned on April 11, 2026, and the registration record was last updated on April 11, 2026. The practitioner's main practice location is at 1320 Central Park Blvd Ste 412, Fredericksburg, VA 22401-4959; the contact telephone number is 5404128613, and the fax number is 5405665151. The primary taxonomy of Lisa Goodwin Bollow is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Lisa Goodwin Bollow is licensed to practice in the state of Virginia (#0704018517).

Provider Information

NPI 1184567471
Entity Type Individual
Provider Name LISA GOODWIN BOLLOW
Gender Female
Credential MA
Practice Address 1320 Central Park Blvd Ste 412
Fredericksburg
VA 22401-4959
Practice Telephone 5404128613
Practice Fax Number 5405665151
Mailing Address 1320 Central Park Blvd Ste 412
Fredericksburg
VA 22401-4959
Mailing Telephone 5404128613
Mailing Fax Number 5405665151
Certification Date 2026-04-11
Enumeration Date 2026-04-11
Last Update Date 2026-04-11
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YM0800XCounselorMental Health0704018517VA

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

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Sara Flannelly 16 Main Rd, Glen Lyon, PA 18617-1250Mental Health Counselor2026-04-11
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Sara Jane Lemay 5726 Marlin Rd Ste 514, Chattanooga, TN 37411-5670Mental Health Counselor2026-04-11
Robert Postoloski 6910 Revere Rd, Parma, OH 44130-4539Mental Health Counselor2026-04-11
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Location Information

Street Address 1320 CENTRAL PARK BLVD STE 412
City FREDERICKSBURG
State VA
Zip Code 22401-4959
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Heather L. Mazey 1320 Central Park Blvd Ste 412, Fredericksburg, VA 22401-4959Professional Counselor2026-03-04
Mia Namiae Meyers 1320 Central Park Blvd Ste 412, Fredericksburg, VA 22401-4959Counselor2026-04-09
Amani Mccoy 1320 Central Park Blvd Ste 412, Fredericksburg, VA 22401-4959Counselor2025-12-13

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mary Washington Healthcare Specialty Services LLC 1001 Sam Perry Blvd, Fredericksburg, VA 22401Certified Registered Nurse Anesthetist2006-06-19
Kimberly-Kay Audra Wynn 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physical Therapist2020-05-21
Jillian Rose Gregson 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physical Therapist2026-02-05
Michael Callander 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401Surgery Physician2013-06-14
Makayla Snider 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physical Therapist2025-03-21
Shikha Rajendra Trivedi Internal Medicine Residency Clinic, 1201 Sam Perry Blvd Suite 201, Fredericksburg, VA 22401Student in an Organized Health Care Education/Training Program2025-04-21
Daisy Anne Tilghman 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physician Assistant2024-04-19
Sidney Raymond 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physician Assistant2023-09-11
Mariam Lobjanidze 1001 Sam Perry Blvd Mary Washington Hospital, Fredericksburg, VA 22401Student in an Organized Health Care Education/Training Program2024-04-22
Victoria Brown 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physical Therapist2024-05-08
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.