LISA MARY DECLARK – Mental Health Counselor, NPI 1134470545

LISA MARY DECLARK is a healthcare provider. based in Perrysburg, Ohio. specializing in Mental Health Counselor. They hold a License No. E.1100125 (OH). The NPI Number for LISA MARY DECLARK is 1134470545

Main info

Female
Sole Proprietor
Name
LISA MARY DECLARK
NPI
1134470545
Phone
(419) 376-6059
Address
119 W 2ND ST
Enumeration Date
25 September 2012
Last Update Date
8 July 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for LISA MARY DECLARK

  • 119 W 2ND ST

    PERRYSBURG, OH 435511402

    Phone: (419) 376-6059

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43551)

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Frequently asked questions

What unique ID ties claims to LISA MARY DECLARK?
NPI 1134470545 is assigned to LISA MARY DECLARK under the national enumeration system.
Does this profile mean LISA MARY DECLARK is currently active?
Yes — LISA MARY DECLARK appears active in the national provider directory.
What field does LISA MARY DECLARK work in?
You can think of LISA MARY DECLARK as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA MARY DECLARK?
The page summarizes Perrysburg, Ohio for LISA MARY DECLARK; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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