| Ms Lisa Lorenz, LCPC | |
|
617 Riverside Ave, Burlington, VT 05401-1601 | |
| (802) 864-6309 | |
| Not Available |
| Full Name | Ms Lisa Lorenz |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 617 Riverside Ave, Burlington, Vermont |
| 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 |
|---|---|---|---|
| 1750624490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC4888 (Maryland) | Secondary |
| 101YP2500X | Counselor - Professional | 068.0107978 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Centers Of Burlington Inc | 2062491251 | 84 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Lorenz, LCPC 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 | Ms Lisa Lorenz, LCPC 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 |
Christine Rose Germano, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 802-870-6858 |
Rebecca Mckay, Counselor Medicare: Medicare Enrolled Practice Location: 112 Lake St, Burlington, VT 05401 Phone: 802-328-9827 |
Sarah L. Gerdeman, LCSW-R, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 |
Kendra Marceau, M.S., NCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 86 Lake St, Burlington, VT 05401 Phone: 802-865-3450 Fax: 802-860-5011 |
Eric Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 978-987-0305 |
Colleen Dykstra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 North Ave, Burlington, VT 05401 Phone: 802-448-5647 |
Julie D Reville, MS CCCSLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Church St, Suite 4g, Burlington, VT 05401 Phone: 802-734-0777 |