Individual provider Active NPI

Lisa Cameron, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1174080394
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005206 Issued in PA
Practice address
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone
(215) 444-7469
NPI assigned
Feb 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005206 PA Primary

Addresses

Primary practice location

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (469) 727-6675

Other practice location 1

1583 Montvale Cir
West Chester, PA 19380-1560
Phone (484) 639-9447

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
I20250513003868 PA Practitioner - Mental Health Counselor 5991028789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

1200 W Godfrey Ave
Suite 3100
Philadelphia, PA 19141-3323
Phone (215) 444-7469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Mental Health Therapy & Supportive Services, LLC CurrentSince May 1, 2023 Accepting new patients
Citylife-PA, PC CurrentSince Apr 12, 2025 Accepting new patients
Cameron Mental Health Therapy & Supportive Services, LLC Professional CurrentSince May 1, 2023 Accepting new patients
Osh - PA Physicians Group, PC CurrentSince Apr 12, 2025 Accepting new patients
Aversa Counseling Group of Chester County Professional PastSince Mar 1, 2017 Accepting new patients
Union Community Care PastSince Jan 1, 2014 Accepting new patients

Locations

470 Boot Rd
Unit 491
Downingtown, PA 19335

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

1200 W Godfrey Ave
Ste 3100
Philadelphia, PA 19141
Phone (215) 444-7469

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 6

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1174080394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-444-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1583 Montvale Cir",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193801560",
            "country_code": "US",
            "telephone_number": "484-639-9447",
            "fax_number": "866-344-1749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.