Individual provider Active NPI

Lisa Treleaven, EDD, LPC

  • Professional Counselor
  • Montgomery, TX
National Provider Identifier
1033977251
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66262 Issued in TX
Practice address
16915 Walden Rd # 311
Montgomery, TX 77356-3219
Phone
(832) 422-6036
NPI assigned
Mar 12, 2024
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66262 TX Primary

Addresses

Primary practice location

16915 Walden Rd # 311
Montgomery, TX 77356-3219

Mailing address

16915 Walden Rd # 311
Montgomery, TX 77356-3219
Phone (832) 422-6036

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
I20250508002408 TX Practitioner - Mental Health Counselor 6901323377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling and Education, PLLC Professional CurrentSince Mar 29, 2025 Accepting new patients

Locations

123 Blue Heron Dr
Ste 104D
Montgomery, TX 77316
Phone (832) 422-6036

16915 Walden Rd
Montgomery, TX 77356
Phone (281) 699-3740

16915 Walden Rd
#311
Montgomery, TX 77356
Phone (832) 422-6036

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1033977251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16915 WALDEN RD # 311",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563219",
            "telephone_number": "832-422-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 WALDEN RD # 311",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563219",
            "telephone_number": "832-422-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELEAVEN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.