MEDICARE: MRS. LISA DIANNE WENGER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2008008554	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2008008554	OTHER	MO	PROFESSIONAL REGISTRATION

General Provider Information

NPI Number	:	1487826459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA DIANNE WENGER LPC

Provider Business Mailing Address
First Line	:	1531 E SUNSHINE ST STE W29
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-1237
Country	:	US
Telephone Number	:	417-887-9550
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 MEDICAL DR
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-3426
Country	:	US
Telephone Number	:	636-327-1332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2008
Last Update Date	:	12/05/2019

Similar Medicare Providers

1679560015 — RICHARD O. FOLLWELL, P.C.
Practice Location Address:

600 MEDICAL DR , SUITE 202
WENTZVILLE, MO
63385-3426

Practice Phone: 636-332-6606
Practice Fax: 636-639-5048

1013904598 — GENERAL, LAPAROSCOPIC & VASCULAR SURGERY, L.L.C.
Practice Location Address:

600 MEDICAL DR , SUITE 202
WENTZVILLE, MO
63385-3426

Practice Phone: 636-332-6606
Practice Fax: 636-639-5048

1285609966 — SSM HEALTH BUSINESSES
Practice Location Address:

600 MEDICAL DR STE 209
WENTZVILLE, MO
63385-3426

Practice Phone: 636-695-2050
Practice Fax: 636-695-2060

1871685669 — ASSOCIATES IN PULMONARY AND SLEEP MEDICINE
Practice Location Address:

600 MEDICAL DR STE 209
WENTZVILLE, MO
63385-3426

Practice Phone: 314-432-2580
Practice Fax: 314-432-0223

1538243571 — ST CHARLES WEST PSYCHOLOGICAL
Practice Location Address:

600 MEDICAL DR STE 205
WENTZVILLE, MO
63385-3426

Practice Phone: 314-432-2580
Practice Fax: 314-432-0223

1518006956 — ST. JOSEPH'S HEALTH CENTER WOMEN'S AND CHILDREN'S SERVICES CLINIC
Practice Location Address:

600 MEDICAL DR , SUITE 209
WENTZVILLE, MO
63385-3426

Practice Phone: 636-332-8482
Practice Fax:

Directions to “ MRS. LISA DIANNE WENGER LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.