Active NPI
Lisa Lane Davisson, LPC
- Mental Health Counselor
- Plano, TX
National Provider Identifier
1023237658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15989
- Practice address
- 8105 Rasor Blvd Ste 117
Plano, TX 75024-0118 - Phone
- (214) 267-8673
- Fax
- (214) 279-5198
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15989 | TX | Primary |
Addresses
Primary practice location
8105 Rasor Blvd Ste 117
Plano, TX 75024-0118
Mailing address
17725 Windflower Way Unit 103
Dallas, TX 75252-5206
Phone (214) 808-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15989 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1023237658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17725 WINDFLOWER WAY UNIT 103",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525206",
"telephone_number": "214-808-4670",
"fax_number": "214-279-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8105 RASOR BLVD STE 117",
"city": "PLANO",
"state": "TX",
"postal_code": "750240118",
"telephone_number": "214-267-8673",
"fax_number": "214-279-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISSON",
"first_name": "LISA",
"middle_name": "LANE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "15989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.