Individual provider Active NPI

Lisa Marie Nelson, LPC

  • Professional Counselor
  • Plainville, CT
National Provider Identifier
1063880581
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002578 Issued in CT
Practice address
201 N Mountain Rd
Plainville, CT 06062-1848
Phone
(860) 827-4199
Fax
(860) 225-2647
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 002578 CT Primary

Addresses

Primary practice location

201 N Mountain Rd
Plainville, CT 06062-1848

Mailing address

1290 Silas Deane Hwy
HHC Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507

Other practice location 1

22 Pine St Ste 104
Bristol, CT 06010-6949
Phone (860) 584-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240321002553 CT Practitioner - Mental Health Counselor 7012354368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

201 N Mountain Rd
Plainville, CT 06062-1848
Phone (860) 229-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002578CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Aug 31, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 1, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Aug 31, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Bristol Hospital Incorporated CurrentSince Jan 28, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients

Locations

420 N Main St
Bristol, CT 06010
Phone (860) 314-4400

22 Pine St
Ste 104
Bristol, CT 06010
Phone (860) 314-2002

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: lisa.nelson.1@28623.direct.athenahealth.com
  • Direct secure messaging: lisa.nelson.d1.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: lisa.nelson.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 7

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1063880581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MOUNTAIN RD",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621848",
            "telephone_number": "860-827-4199",
            "fax_number": "860-225-2647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Pine St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106949",
            "country_code": "US",
            "telephone_number": "860-584-8291",
            "fax_number": "860-584-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "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": "CT",
            "license": "002578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.