Individual provider Active NPI

Lisa Laverne Reich, MSHR, LPC, CM III

  • Mental Health Counselor
  • McAlester, OK
National Provider Identifier
1003118258
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
507 E Harrison Ave
McAlester, OK 74501-3929
Phone
(918) 916-7932
NPI assigned
Nov 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

507 E Harrison Ave
McAlester, OK 74501-3929

Mailing address

507 E Harrison Ave
McAlester, OK 74501-3929
Phone (918) 916-7932

Other identifiers 1

IdentifierTypeStateIssuer
200359380 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1003118258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E HARRISON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013929",
            "telephone_number": "918-916-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E HARRISON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013929",
            "telephone_number": "918-916-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "LISA",
        "middle_name": "LAVERNE",
        "name_prefix": "Ms.",
        "credential": "MSHR, LPC, CM III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-20",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200359380 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.