LISA WASNOCK
Counselor

Address: 5252 Balboa Ave Ste 304, San Diego, CA 92117-6942

LISA WASNOCK (NPI# 1255728879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255728879
Entity Type Individual
Full Name LISA WASNOCK
Gender Female
Credential LCSW
Practice Address 5252 Balboa Ave Ste 304
San Diego
CA 92117-6942
Practice Telephone 7608531097
Mailing Address 1350 La Palma St
San Diego
CA 92109-5201
Mailing Telephone 5743391840
Certification Date 2020-05-26
Enumeration Date 2015-04-21
Last Update Date 2020-05-26
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
63945 CA Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW85835 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
591 Camino De La Reina Ste 802, San Diego, CA 921083110 8585198002
1679 E Main St, Suite 102, El Cajon, CA 920215212 6194411907

Office Location

Street Address 5252 BALBOA AVE STE 304
City SAN DIEGO
State CA
Zip Code 92117-6942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346560836 Cielo Rosa Jimenez Counselor - Mental Health 5252 Balboa Ave Ste 304, San Diego, CA 92117-6942 2010-06-07

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1780089573 Caroline Loretan Counselor - Mental Health 5252 Balboa Av., Suite 707, San Diego, CA 92117 2014-10-23
1417408949 Markos and Markos 1 Inc Private Vehicle 4495 Clairemont Mesa Blvd, San Diego, CA 92117 2016-10-19
1205355401 Alan Ford Counselor 4150 Ute Dr., San Diego, CA 92117 2017-09-19
1518396621 Shivali Gohel Garg · Shivali Gohel Dentist - Periodontics 4320 Genesee Ave Ste 203, San Diego, CA 92117 2013-11-08
1780101238 Allison Dawn Heeney Occupational Therapist - Physical Rehabilitation 3386 Hopi Place, San Diego, CA 92117 2017-08-25
1184076077 Tammy Monck · Tammy Nguyen Optometrist 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 2016-07-05
1811240906 Charles Hamrang Obstetrics & Gynecology 3250 Bunker Hill, San Diego, CA 92117 2012-10-26
1457696122 Zahra Sara Naderi Dds Inc Clinic/Center - Dental 4241 Balboa Ave, San Diego, CA 92117 2012-12-06
1750893509 Dzendzel Family Chiropractic Chiropractor 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 2017-11-02
1801341813 Huynh and Habashi Dental Corporation · Bay Park Dentistry Dental Group Dentist 2995 Clairemont Dr, Suite A, San Diego, CA 92117 2016-08-19
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689259806 Nathaly Jacqueline Ruiz Counselor 6560 Montezuma Rd Apt 305, San Diego, CA 92115-2819 2021-03-10
1760081376 Annel Vianey Orduno Counselor 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 2020-10-23
1689280422 Jason Vince Rather Counselor 333 Ledgewood Lane, San Diego, San Diego, CA 92114 2020-09-17
1851903751 Shawn M Sta Ines Counselor 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 2020-08-20
1821607599 Tara Oneil Counselor 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 2020-07-28
1881212520 Ureclaim Therapy Counselor 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 2020-07-09
1407480726 Autumn Weidman Counselor 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 2020-02-25
1073153714 Jennifer Lynn Martinez · Jenifer Lynn Martinez Counselor 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 2020-01-10
1881233708 Ramin Movafaghi Counselor 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 2019-12-23
1316595739 Ashley Champa Counselor 7954 Dagget St, San Diego, CA 92111-2306 2019-08-28
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Competitor

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City SAN DIEGO
Zip Code 92117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.