Organization Active NPI

Lisa Willmon LPC-S PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bastrop, TX
National Provider Identifier
1154186484
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LISA WILLMON LPC-S PLLC
Practice address
922 Main St Ste C
Bastrop, TX 78602-3810
Phone
(512) 333-4040
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Lisa R Willmon, LPC-SNPI 1659762342
Title
Owner
Phone
(512) 333-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

922 Main St Ste C
Bastrop, TX 78602-3810

Mailing address

489 Agnes St # 408
Bastrop, TX 78602-2156
Phone (512) 333-4040

National Provider Directory

National Provider Directory

Locations

922 Main St
Ste C
Bastrop, TX 78602
Phone (512) 333-4040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1154186484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 AGNES ST # 408",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022156",
            "telephone_number": "512-333-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MAIN ST STE C",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023810",
            "telephone_number": "512-333-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WILLMON LPC-S PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLMON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-333-4040",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.