Lisa Patrizia, LPC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007236 Issued in VA

Practice address

509 Park St
Charlottesville, VA 22902-4739

Phone

(434) 466-2435

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Mondoro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1194333401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PARK ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024739",
            "telephone_number": "434-202-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PARK ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024739",
            "telephone_number": "434-466-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIZIA",
        "first_name": "LISA",
        "credential": "LPC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC8418",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MONDORO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohana Rao Patibandla, MD
• Pooja Patil
• Patricia Martin Professional Corporation
• Peter D. Patrick, PHD
• Jaclyn Woodyatt Patrizia, M.A., CCC-SLP
• Allison W. Patrizio, AG-ACNP
• Michael Ryan Patrizio
• Chelsea-Ann Patry, MD
• Tanyaporn Pattarabanjird
• Brandy Patterson, M.D.

• Mental Health Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.