Active NPI
Alisa Marie Lewis, PHD
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1073760310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC303495
- Practice address
- 1935 11TH St NW
#2
Washington, DC 20001-4113 - Phone
- (202) 297-1670
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC303495 | DC | Primary |
Addresses
Primary practice location
1935 11TH St NW
#2
Washington, DC 20001-4113
Mailing address
414 Gough St Ste 4
San Francisco, CA 94102-4474
Phone (202) 297-1670
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC303495 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1073760310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 GOUGH ST STE 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024474",
"telephone_number": "202-297-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 11TH ST NW",
"address_2": "#2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200014113",
"telephone_number": "202-297-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ALISA",
"middle_name": "MARIE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "LC303495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.