1. Home
  2. Directory
  3. Vermont
  4. Burlington
  5. Counselor
  6. NPI Profile

LISA PETERSEN LCMHC
NPI 1942704127
Counselor - Mental Health in Burlington, VT

Active since March 21, 2018
1138 PINE ST, BURLINGTON, VT 05401(802) 488-6600(802) 488-6919 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Petersen Lcmhc NPPES

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

LISA PETERSEN LCMHC (NPI 1942704127) is an individual mental health provider in Burlington, Vermont, licensed in Vermont (068-01288884) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1942704127
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA PETERSENCredential: LCMHC
Location Address1138 PINE STBurlington, VT 05401-5353
Mailing Address208 Flynn Ave Ste 3jBurlington, VT 05401-5420 · (802) 488-6920 · Fax (802) 488-6919
Phone(802) 488-6600
Fax(802) 488-6919
Sole ProprietorNo
Enumeration DateMarch 21, 2018
✔ NPI 1942704127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VT · 068-01288884
1138 PINE ST, Burlington, VT 05401
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa Mallory

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.

CHRISTINA VETTER RAISANEN BCBA
Behavior Analyst
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
SHANNON KADISH LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6600
ELYZA MOORE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ELLYN LEAMON LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 863-1326
LORA GIGUERE
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ANDREA FINE
Student in an Organized Health Care Education/Training Program
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ADAM FROWINE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
CHRISTOPHER SPODICK
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000

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 Petersen's NPI number?

The NPI number for Lisa Petersen is 1942704127. It was assigned to this individual provider in the NPPES registry on March 21, 2018. The provider is also known as Lisa Mallory.

Where is Lisa Petersen located?

Lisa Petersen practices at 1138 Pine St, Burlington, VT 05401. The listed phone number is (802) 488-6600.

What is Lisa Petersen'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 Petersen was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.