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LISA MARIE ROOT
NPI 1366100174
Counselor - Mental Health in Brookings, OR

Active since November 30, 2021
210 COVE RD, BROOKINGS, OR 97415(541) 469-0222(541) 469-0228 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Marie Root NPPES

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

LISA MARIE ROOT (NPI 1366100174) is an individual mental health provider in Brookings, Oregon and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1366100174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MARIE ROOT
Location Address210 COVE RDBrookings, OR 97415-2520
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 469-0222
Fax(541) 469-0228
Sole ProprietorNo
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1366100174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
210 COVE RD, Brookings, OR 97415
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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.

MS. ANDREA ROBERTA DEL GRANDE LPC
Counselor (Professional)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
LANCE SALCIDO
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
TERESA MARTIN
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
VICTORIA HANSON
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
RHONDA GARDINER
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
JOHN P.T. MOODY
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
DAWN LUICELLE MIKULSKI
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222
KRYSTAL M MYERS
Counselor (Mental Health)
210 COVE RD
BROOKINGS, OR 97415
Curry County (541) 469-0222

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 Root's NPI number?

The NPI number for Lisa Root is 1366100174. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Lisa Root located?

Lisa Root practices at 210 Cove Rd, Brookings, OR 97415. The listed phone number is (541) 469-0222.

What is Lisa Root's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Root was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.