Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Root

Individual provider Mental Health Counselor · NPI 1366100174

Lisa Marie Root is a Mental Health Counselor in Brookings, Oregon. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

210 Cove Rd
Brookings, OR 97415-2520
Phone: (541) 469-0222
Fax: (541) 469-0228
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1366100174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address3587 Heathrow Way, Medford, OR 97504-4004

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