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LISA MARIE CORALLO MA
NPI 1659523769
Counselor - Mental Health in Grants Pass, OR

Active since October 21, 2008
1215 SW G ST, GRANTS PASS, OR 97526(541) 476-2373(541) 884-2338 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Marie Corallo Ma NPPES

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

LISA MARIE CORALLO MA (NPI 1659523769) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1659523769
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MARIE CORALLOCredential: MA
Location Address1215 SW G STGrants Pass, OR 97526-2544
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Fax(541) 884-2338
Sole ProprietorNo
Enumeration DateOctober 21, 2008
Last NPPES UpdateOctober 8, 2019
✔ NPI 1659523769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1215 SW G ST, Grants Pass, OR 97526
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Other Names 1

Former Name (1)Lisa Marie Corallo Ma

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. LISA JEAN MEREDITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
SAMANTHA TEVIS
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JORGE ROMERO
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JOANNE E LITTLE
Registered Nurse
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. STACY LYNN BANCROFT LCSW
Social Worker (Clinical)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. MAUREEN MARGARET MAHONEY LPC
Counselor (Professional)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
LETTY SMITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. LISA MICHELE CAMERON
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373

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 Corallo's NPI number?

The NPI number for Lisa Corallo is 1659523769. It was assigned to this individual provider in the NPPES registry on October 21, 2008. The provider is also known as Lisa Marie Corallo Ma.

Where is Lisa Corallo located?

Lisa Corallo practices at 1215 SW G St, Grants Pass, OR 97526. The listed phone number is (541) 476-2373.

What is Lisa Corallo'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 Corallo was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.