Lisa Marie Mackillop, PSYD, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011850 Issued in PA

Practice address

1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106

Phone

(717) 936-9758

Fax

(717) 618-6730

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Krem Capital IncGroup PAC ID 7416311774, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Krem Capital, Inc

  • Professional Counselor
  • Lancaster, PA
  • NPI 1700586674
  Medicare reassignment Care Compare group NPD
• Pennsylvania Comprehensive Behavioral Health Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Red Lion, PA
  • NPI 1114980489

  Single Specialty

  NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1194367706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 SANTA BARBARA DR STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014106",
            "telephone_number": "717-850-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 SANTA BARBARA DR STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014106",
            "telephone_number": "717-936-9758",
            "fax_number": "717-618-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKILLOP",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PSYD, MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011850",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Macik, PA-C
• Andreana Macivor, CRNP
• Kaitlyn Renee Mackey, MSW, LSW
• Stephanie Annette Mackey, M.D.
• Virginia (Giny) C Mackey, M.A., CCC/SLP
• Cullen J Maclay
• Rebecca Macnamara
• Jaime A Macrina, PT
• Alexa M Maddy, PA-C
• Made for Motion, LLC

• Professional Counselor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.