| Lisa K Erickson, LPC | |
|
565 Milwaukee Ave Ste 3c, Burlington, WI 53105-1254 | |
| (262) 757-0016 | |
| (262) 757-0018 |
| Full Name | Lisa K Erickson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 565 Milwaukee Ave Ste 3c, Burlington, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316057680 | NPI | - | NPPES |
| 39788600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3577 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa K Erickson, LPC 565 Milwaukee Ave Ste 3c, Burlington, WI 53105-1254 Ph: (262) 757-0016 | Lisa K Erickson, LPC 565 Milwaukee Ave Ste 3c, Burlington, WI 53105-1254 Ph: (262) 757-0016 |
Annette Renee Vielleux, PSY.D. Counselor Medicare: May Accept Medicare Assignments Practice Location: 6190 State Road 36, Burlington, WI 53105 Phone: 414-331-9376 | |
Ms. Katherine S Gochanour-greiner, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Pine St, Burlington, WI 53105 Phone: 262-767-0441 Fax: 262-767-9072 | |
Sherry Lynn Ward, LPC, CSAC. RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E State St, Burlington, WI 53105 Phone: 262-767-0441 | |
Rachel Ann Simonovich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 197 W Chestnut St, Burlington, WI 53105 Phone: 262-763-9191 | |
Susan J Alter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Crest St, Burlington, WI 53105 Phone: 262-767-0440 Fax: 262-767-0777 | |
James Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 E State St, Burlington, WI 53105 Phone: 262-763-8183 | |
Kathleen Yoder, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 Milwaukee Ave Ste 2, Burlington, WI 53105 Phone: 262-767-0440 Fax: 262-767-0777 |