LISA MARY DECLARK
NPI 1134470545
Counselor - Mental Health in Perrysburg, OH

Active since September 25, 2012
119 W 2ND ST, PERRYSBURG, OH 43551(419) 376-6059 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Mary Declark NPPES

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

LISA MARY DECLARK (NPI 1134470545) is an individual mental health provider in Perrysburg, Ohio, licensed in Ohio (E.1100125) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1134470545
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MARY DECLARK
Location Address119 W 2ND STPerrysburg, OH 43551-1402
Mailing Address119 W 2nd StPerrysburg, OH 43551-1402 · (419) 376-6059
Sole ProprietorYes
Enumeration DateSeptember 25, 2012
Last NPPES UpdateJuly 8, 2016
NPI 1134470545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OH · E.1100125
119 W 2ND ST, Perrysburg, OH 43551

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
119 W 2ND ST
PERRYSBURG, OH 43551
Social Worker
119 W 2ND ST
PERRYSBURG, OH 43551
Counselor (Mental Health)
119 W 2ND ST
PERRYSBURG, OH 43551
Counselor (Mental Health)
119 W 2ND ST
PERRYSBURG, OH 43551
Counselor (Mental Health)
119 W 2ND ST
PERRYSBURG, OH 43551
Social Worker (Clinical)
119 W 2ND ST
PERRYSBURG, OH 43551
Counselor (Mental Health)
119 W 2ND ST
PERRYSBURG, OH 43551
Counselor (Mental Health)
119 W 2ND ST
PERRYSBURG, OH 43551

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 Declark's NPI number?

The NPI number for Lisa Declark is 1134470545. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Lisa Declark located?

Lisa Declark practices at 119 W 2nd St, Perrysburg, OH 43551. The listed phone number is (419) 376-6059.

What is Lisa Declark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Lisa Declark accept?

Health plans from MedMutual list Lisa Declark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Declark was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.