LISA S DIERDORF LPC
NPI 1568047769
Counselor - Professional in Ballwin, MO
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Dierdorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Lisa Dierdorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Dierdorf reassigns Medicare benefits to St. Louis Behavioral Medicine Institute Inc (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Dierdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Dierdorf accept?
Health plans from Anthem Blue Cross and Blue Shield, 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.
# Lisa S Dierdorf, LPC · NPI 1568047769
Professional provider in Ballwin, Missouri. Individual provider, active in the CMS NPPES registry since March 10, 2021.
## Identity
- **NPI:** 1568047769 (Entity type: Individual)
- **Enumerated:** March 10, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2015019936 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 301 SOVEREIGN CT STE 211, Ballwin, MO 63011-4435
- **Phone:** (636) 346-1132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** St. Louis Behavioral Medicine Institute Inc (NPI 1487732335, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568047769) · Data from the CMS NPPES public registry.