Lissi Wandemberg Overcast, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SAH-2025-0014 Issued in NM

Practice address

7075 Purple Mountain Ave
Las Cruces, NM 88007-4818

Phone

(575) 571-0207

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Therapy Harmony

  • Speech-Language Pathologist
  • Las Cruces, NM
  • NPI 1205649340
  NPD Authorized official
• Aprendamos Intervention Team PA

  • Speech-Language Pathologist
  • Las Cruces, NM
  • NPI 1891245189
  NPD (past)
• Las Cruces School District No. 2

  • Local Education Agency (LEA)
  • Las Cruces, NM
  • NPI 1851301857
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1023395126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 PURPLE MOUNTAIN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074818",
            "telephone_number": "575-571-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 PURPLE MOUNTAIN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074818",
            "telephone_number": "575-571-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERCAST",
        "first_name": "LISSI",
        "middle_name": "WANDEMBERG",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2025-0014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole S Oswalt, CPNP
• Albert Otero
• Cesia Otero
• Mai H Oushy, MD
• Janel Outlaw, APRN
• Monica Overcast, SLP
• Amy Jolene Owen, MSW
• Philip Owen, MD
• Richard James Owen, D.M.D.
• Oxygen Therapy Associates Inc

• Speech-Language Pathologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.