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

Lisa S Dierdorf, LPC

Individual provider Professional Counselor · NPI 1568047769

Lisa S Dierdorf, LPC is a Mental Health Counselor in Ballwin, Missouri. Qualified in 2012, 14 years ago. Practices with St Louis Behavioral Medicine Institute Inc, a 70-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

301 Sovereign Ct Ste 211
Ballwin, MO 63011-4435
Phone: (636) 346-1132
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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 2015019936 (MO)

Record details

NPI number1568047769
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St. Louis Behavioral Medicine Institute Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ballwin