Active NPI
Lisa Ann Mastel, LPC
- Professional Counselor
- Fargo, ND
National Provider Identifier
1013934652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 46510101
- Practice address
- 1720 University Dr S
Fargo, ND 58103-4940 - Phone
- (701) 461-5308
- Fax
- (701) 461-5649
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 46510101 | ND | Primary |
Addresses
Primary practice location
1720 University Dr S
Fargo, ND 58103-4940
Mailing address
1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 461-5308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214000618 | ND | Practitioner - Mental Health Counselor | 2062856404 | Practice locations: Fargo, ND |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3523 45TH St S
Suite 143
Fargo, ND 58104-8962
Phone (701) 365-1914
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46510101 | ND | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Counseling Services LLC | Current | Accepting new patients | |
| JDL Counseling LLC | Current | Accepting new patients |
Locations
3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701
1121 Westrac Dr S
Ste 208
Fargo, ND 58103
Phone (701) 490-6812
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Fargo, ND
- NPI 1841163748
-
- Mental Health Counselor
- Fargo, ND
- NPI 1861003089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1013934652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-461-5308",
"fax_number": "701-461-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-461-5308",
"fax_number": "701-461-5649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTEL",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "46510101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.