Individual provider Active NPI

Lisa Ann Zupan, LPC

  • Mental Health Counselor
  • Lewis Center, OH
National Provider Identifier
1104473289
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1801312 Issued in OH
Practice address
7840 Graphics Way
Lewis Center, OH 43035-8002
Phone
(419) 651-1222
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 C.1801312 OH Primary

Addresses

Primary practice location

7840 Graphics Way
Lewis Center, OH 43035-8002

Mailing address

5920 Pennyroyal PL
Westerville, OH 43082-8560
Phone (419) 651-1222

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

State licenses

LicenseStateTypeSpecialty
C.1801312OHMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: lisa.zupan.1@26020.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1104473289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 PENNYROYAL PL",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828560",
            "telephone_number": "419-651-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 GRAPHICS WAY",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358002",
            "telephone_number": "419-651-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPAN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.