LISA WENNINGER LPCC, NCC, BC-TMH
NPI 1730728783
Counselor - Mental Health in Eureka, CA

Active since December 21, 2019
1632 BROADWAY # 407, EUREKA, CA 95501(628) 261-5700 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Aug 28, 2021, Dec 21, 2019 (3 updates tracked since 2019).

About Lisa Wenninger Lpcc, Ncc, Bc-tmh NPPES

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

LISA WENNINGER LPCC, NCC, BC-TMH (NPI 1730728783) is an individual mental health provider in Eureka, California, licensed in California (14315) and active in the NPI registry since December 2019. She maintains a secondary practice location in San Rafael.

NPPES Registry Identity

NPI1730728783
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA WENNINGERCredential: LPCC, NCC, BC-TMH
Location Address1632 BROADWAY # 407Eureka, CA 95501-0136
Mailing AddressPo Box 3045Eureka, CA 95502-3045 · (628) 261-5700
Sole ProprietorYes
Enumeration DateDecember 21, 2019
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1730728783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 14315
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 14315 (CA)
1632 BROADWAY # 407, Eureka, CA 95501

Other Names 1

Former Name (1)Evelyn Wenninger

Secondary Practice Location 1

Location 1101 Lucas Valley Rd Ste 267San Rafael, CA 94903-1761 · Phone (408) 412-1108

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 Wenninger's NPI number?

The NPI number for Lisa Wenninger is 1730728783. It was assigned to this individual provider in the NPPES registry on December 21, 2019. The provider is also known as Evelyn Wenninger.

Where is Lisa Wenninger located?

Lisa Wenninger practices at 1632 Broadway # 407, Eureka, CA 95501. The listed phone number is (628) 261-5700.

What is Lisa Wenninger'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 Wenninger was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.