Individual provider Active NPI

Lisa Ann Wittpenn, MS, LPC

  • Professional Counselor
  • Crowley, TX
National Provider Identifier
1033826342
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
409 Starboard Dr
Crowley, TX 76036-3463
Phone
(817) 846-8949
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

409 Starboard Dr
Crowley, TX 76036-3463

Mailing address

409 Starboard Dr
Crowley, TX 76036-3463
Phone (817) 846-8949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102000063 TX Practitioner - Mental Health Counselor 8527418730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity House Counseling, PLLCGroup PAC ID 3173973377, 11 clinicians

Practice addresses (Care Compare)

1629 US Hwy 190 E
Livingston, TX 77351-4487
Phone (936) 259-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 2, 2024 Accepting new patients
Serenity House Counseling, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4381 W Green Oaks Blvd
Ste 101
Arlington, TX 76016
Phone (936) 259-2119

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

3748 US Highway 59 N
#A
Livingston, TX 77352

3748 US Highway 59 N
Livingston, TX 77352
Phone (936) 259-2119

3748 US Highway 59 N
Ste A
Livingston, TX 77352
Phone (936) 259-2119

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.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1033826342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 STARBOARD DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363463",
            "telephone_number": "817-846-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 STARBOARD DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363463",
            "telephone_number": "817-846-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTPENN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.