Lisa K Grutzmacher, PAT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1326303942

Lisa K Grutzmacher, PAT is a Mental Health Counselor in Driggs, Idaho. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho and Wyoming.

Years since qualifying: 14
Licensed in: ID, WY
In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

1300 Arrowhead Plaza Way
Driggs, ID 83422
Phone: (208) 351-1323

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence LCPC-8588 (ID)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence PAT-056 (WY)

Record details

NPI number	1326303942
Entity type	Individual (Type 1)
Gender	Female
Credentials	PAT
Sole proprietor	Yes
NPI enumerated	July 10, 2012
Last updated in NPPES	November 7, 2022
Certification date	November 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2012 (14 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount