LISA S DIERDORF LPC
NPI 1568047769
Counselor - Professional in Ballwin, MO

Active since March 10, 2021PECOS EnrolledAccepts Medicare Assignment
301 SOVEREIGN CT STE 211, BALLWIN, MO 63011(636) 346-1132 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2021, Mar 10, 2021 (2 updates tracked since 2021).

About Lisa S Dierdorf Lpc NPPES

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

LISA S DIERDORF LPC (NPI 1568047769) is an individual professional provider in Ballwin, Missouri, licensed in Missouri (2015019936) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1568047769
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA S DIERDORFCredential: LPC
Location Address301 SOVEREIGN CT STE 211Ballwin, MO 63011-4435
Mailing Address301 Sovereign Ct Ste 211Ballwin, MO 63011-4435 · (636) 346-1132
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 10, 2021
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1568047769 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 MO · 2015019936
301 SOVEREIGN CT STE 211, Ballwin, MO 63011

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa S Dierdorf Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567805773
PECOS Enrollment IDI20240205002439
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
301 SOVEREIGN CT STE 211
BALLWIN, MO 63011
Social Worker (Clinical)
301 SOVEREIGN CT STE 211
BALLWIN, MO 63011
Counselor (Mental Health)
301 SOVEREIGN CT STE 211
BALLWIN, MO 63011
Counselor (Mental Health)
301 SOVEREIGN CT STE 211
BALLWIN, MO 63011

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 Dierdorf's NPI number?

The NPI number for Lisa Dierdorf is 1568047769. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Lisa Dierdorf located?

Lisa Dierdorf practices at 301 Sovereign Ct Ste 211, Ballwin, MO 63011. The listed phone number is (636) 346-1132.

What is Lisa Dierdorf's specialty?

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

Is Lisa Dierdorf enrolled in Medicare?

Yes. Lisa Dierdorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Dierdorf accept?

Health plans from Medica and Oscar Insurance Company list Lisa Dierdorf 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 Dierdorf was last updated on August 3, 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.