Healthcare Provider Details

I. General information

NPI: 1104720952
Provider Name (Legal Business Name): LISA PIPER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 20TH ST
SANTA MONICA CA
90402-3029
US

IV. Provider business mailing address

39 AVENUE RAPP
PARIS 07 ILE-DE-FRANCE
75007
FR

V. Phone/Fax

Practice location:
  • Phone: 310-279-7268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT40027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: