Lisa Root, Psyd
Counselor, Mental Health in Fairbanks, AK. Individual provider (NPI-1).
NPI number1376986802
StatusActive
Last updated in NPPESApr 15, 2013
Details
- NPI
- 1376986802
- Entity type
- Individual (NPI-1)
- Name
- Lisa Root
- Credential
- Psyd
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2013
- Last updated
- Apr 15, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 012375 | CO | Yes |
Practice location
442 Hagelbarger AveFairbanks, AK 99712-1917
Phone 907-350-4353
Mailing address
442 Hagelbarger AveFairbanks, AK 99712-1917
Phone 907-350-4353
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 282 Mental Health Counselor providers in Fairbanks · All 3,932 providers in Fairbanks
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