Active NPI
Lisa Preble, MA
- Counselor
- Colorado Springs, CO
National Provider Identifier
1063889111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NLC.0103651
- Practice address
- 9940 Bridgeport Dr
Colorado Springs, CO 80920-5107 - Phone
- (719) 339-3595
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NLC.0103651 | CO | Primary |
Addresses
Primary practice location
9940 Bridgeport Dr
Colorado Springs, CO 80920-5107
Mailing address
PO Box 63348
Colorado Springs, CO 80962-3348
Phone (719) 339-3595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0103651 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1063889111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63348",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809623348",
"telephone_number": "719-339-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 BRIDGEPORT DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809205107",
"telephone_number": "719-339-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREBLE",
"first_name": "LISA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "NLC.0103651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.