MRS. LISA ANN MUNGENAST CRM, PSS, THW
NPI 1215636303
Peer Specialist in Portland, OR

Active since February 27, 2023
1030 NE COUCH ST, PORTLAND, OR 97232(503) 239-8400 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2023, Feb 27, 2023 (2 updates tracked since 2023).

About Mrs. Lisa Ann Mungenast Crm, Pss, Thw NPPES

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

MRS. LISA ANN MUNGENAST CRM, PSS, THW (NPI 1215636303) is an individual peer specialist in Portland, Oregon, licensed in Oregon (107729) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1215636303
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMRS. LISA ANN MUNGENASTCredential: CRM, PSS, THW
Location Address1030 NE COUCH STPortland, OR 97232-3067
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400
Sole ProprietorYes
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1215636303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 107729
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1030 NE COUCH ST, Portland, OR 97232

Other Providers at the Same Location NPPES 20

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

Peer Specialist
1030 NE COUCH ST
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
1030 NE COUCH ST
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
1030 NE COUCH ST
PORTLAND, OR 97232
Counselor (Mental Health)
1030 NE COUCH ST
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
1030 NE COUCH ST
PORTLAND, OR 97232
Nurse Practitioner (Family)
1030 NE COUCH ST
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
1030 NE COUCH ST
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
1030 NE COUCH ST
PORTLAND, OR 97232

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 Mungenast's NPI number?

The NPI number for Lisa Mungenast is 1215636303. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Lisa Mungenast located?

Lisa Mungenast practices at 1030 NE Couch St, Portland, OR 97232. The listed phone number is (503) 239-8400.

What is Lisa Mungenast's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lisa Mungenast was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.