P Praxis·MD
● Active Type 1 · Individual

MRS. Lisa La'Ree Kishiyama, LMSW

Counselor·Idaho Falls, ID· NPI 1982999074 · Enumerated 2011 · 14 years on NPI
Kishiyama is 1 of 80 counselor providers in Idaho Falls and 1 of 1313 in Idaho.
NPI age
14 years
Enumerated 2011-06-16
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-06-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-06Enumerated in NPPES
2011 2026

Where they practice

Practice location
660 S Woodruff Ave
Idaho Falls, ID 834015299
📞 2085231558fax 2085294788
Mailing address
2820 Saint Charles Ave
Idaho Falls, ID 834047330
📞 2086814808

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LMSW-31426 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new counselor providers have been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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