Individual provider Active NPI

Lisa Haraburda

  • Mental Health Counselor
  • Langhorne, PA
National Provider Identifier
1093372401
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone
(215) 757-6916
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4 Cornerstone Dr
Langhorne, PA 19047-1314

Mailing address

307 Pinewood Dr
Levittown, PA 19054-3708
Phone (215) 858-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231007000208 PA Practitioner - Clinical Social Worker 5698120871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service Association of Bucks CountyGroup PAC ID 1456346246, 6 clinicians

Practice addresses (Care Compare)

4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone (215) 757-6916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association of Bucks County Current Accepting new patients

Locations

4 Cornerstone Dr
Langhorne, PA 19047

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1093372401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PINEWOOD DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543708",
            "telephone_number": "215-858-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORNERSTONE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471314",
            "telephone_number": "215-757-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARABURDA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.