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DR. LISA MARIE MCILVENNA DMIN
NPI 1043412240
Counselor - Professional in Midland, MI

Active since June 01, 2007
315 W LARKIN ST, MIDLAND, MI 48640(989) 835-7511(898) 357-5112 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Marie Mcilvenna Dmin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA MARIE MCILVENNA DMIN (NPI 1043412240) is an individual professional provider in Midland, Michigan, licensed in Michigan (6401010105) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1043412240
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. LISA MARIE MCILVENNACredential: DMIN
Location Address315 W LARKIN STMidland, MI 48640
Mailing Address5601 Houghten DrTroy, MI 48098-2942 · (248) 879-3220
Phone(989) 835-7511
Fax(898) 357-5112
Sole ProprietorYes
Enumeration DateJune 1, 2007
Last NPPES UpdateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1043412240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401010105
315 W LARKIN ST, Midland, MI 48640
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD MAX BROCK
Counselor
315 W LARKIN ST
MIDLAND, MI 48640
Midland County (989) 835-7511
FRESH AIRE SAMARITAN COUNSELING CENTER
Community/Behavioral Health
315 W LARKIN ST
MIDLAND, MI 48640
Midland County (989) 835-7511
COLLEEN GORMAN MSW
Social Worker (Clinical)
315 W LARKIN ST
MIDLAND, MI 48640
Midland County (989) 835-7511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mcilvenna's NPI number?

The NPI number for Lisa Mcilvenna is 1043412240. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Lisa Mcilvenna located?

Lisa Mcilvenna practices at 315 W Larkin St, Midland, MI 48640. The listed phone number is (989) 835-7511.

What is Lisa Mcilvenna's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lisa Mcilvenna was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.