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LISA C BROLL LPC
NPI 1821141730
Counselor in Williams Bay, WI

Active since January 22, 2007PECOS Enrolled
533 PRAIRIE VIEW RD, WILLIAMS BAY, WI 53191(815) 236-3554 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Sep 10, 2024, Aug 22, 2024 and 1 more (4 updates tracked since 2024).

About Lisa C Broll Lpc NPPES

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

LISA C BROLL LPC (NPI 1821141730) is an individual counselor in Williams Bay, Wisconsin, licensed in Wisconsin (2978-125) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821141730
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA C BROLLCredential: LPC
Location Address533 PRAIRIE VIEW RDWilliams Bay, WI 53191-3732
Mailing AddressPo Box 1005Elkhorn, WI 53121-1005
Phone(815) 236-3554
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1821141730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 2978-125
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2978-125 (WI)
533 PRAIRIE VIEW RD, Williams Bay, WI 53191
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa C Broll Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Broll's NPI number?

The NPI number for Lisa Broll is 1821141730. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Lisa Broll located?

Lisa Broll practices at 533 Prairie View Rd, Williams Bay, WI 53191. The listed phone number is (815) 236-3554.

What is Lisa Broll's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa Broll enrolled in Medicare?

Yes. Lisa Broll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Broll was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.