Lisa Colvin

Individual provider Active NPI Day Training/Habilitation Specialist · Crestline, CA

NPI 1164212825 · NPPES record last updated May 23, 2025

Key facts

NPI
1164212825
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
340 Ca-Hwy 138
Crestline, CA 92325
Phone
(909) 336-3330
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Counseling & Training, Inc. Current
since May 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

340 Ca-Hwy 138
Crestline, CA 92325

Mailing address

PO Box 6300
Crestline, CA 92325-6300

Other providers in Crestline, CA

All providers in Crestline, CA · Day Training/Habilitation Specialist in California

Sources for this page

Verify at the official NPI Registry.