Individual provider Active NPI

Lisa Michelle Cree, LMHC, LCAC

  • Mental Health Counselor
  • Lafayette, IN
National Provider Identifier
1154311363
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000556A Issued in IN
Practice address
100 Saw Mill Rd Ste 3200
Lafayette, IN 47905-5597
Phone
(765) 404-1109
Fax
(765) 374-4164
NPI assigned
Oct 27, 2005
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000116A IN
Mental Health Counselor 101YM0800X 39000556A IN Primary

Addresses

Primary practice location

100 Saw Mill Rd Ste 3200
Lafayette, IN 47905-5597

Mailing address

2223 Canyon Creek Dr
Lafayette, IN 47909-8049
Phone (765) 404-3410

Other names 1

  • Lisa Holley Former name

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
87000116AINMDAddiction (Substance Use Disorder) Counselor
39000556AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Physicians, LLC PastSince Apr 1, 2021 Accepting new patients
Alpine Clinic, LLC Addiction (Substance Use Disorder) PastSince Apr 1, 2021 Accepting new patients
Cummins Behavioral Health Systems, Incorporated Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1154311363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 CANYON CREEK DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098049",
            "telephone_number": "765-404-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAW MILL RD STE 3200",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055597",
            "telephone_number": "765-404-1109",
            "fax_number": "765-374-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREE",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "LMHC, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000116A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000556A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HOLLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.