Individual provider Active NPI

Lisa Hughes Trahan, PHD

  • Psychologist
  • Boone, NC
National Provider Identifier
1205298106
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6389 Issued in NC
Practice address
895 State Farm Rd Ste 403-7
Boone, NC 28607-4917
Phone
(717) 471-4493
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36211 TX
Psychologist 103T00000X 6389 NC Primary

Addresses

Primary practice location

895 State Farm Rd Ste 403-7
Boone, NC 28607-4917

Mailing address

895 State Farm Rd Ste 403-7
Boone, NC 28607-4917
Phone (717) 471-4493

Other practice location 1

8700 Menchaca Rd Ste 605
Austin, TX 78748-5377
Phone (717) 471-4493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220923002219 TX Practitioner - Clinical Psychologist 5395092399 Reassigns benefits to 1 organization
I20240410001422 NC Practitioner - Clinical Psychologist 5395092399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8700 Menchaca Rd
Suite 605
Austin, TX 78748-5377
Phone (717) 471-4493

895 State Farm Rd
Suite 403 7
Boone, NC 28607-4917
Phone (717) 471-4493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Trahan Counseling, PLLC Clinical CurrentSince Sep 18, 2022 Accepting new patients

Locations

895 State Farm Rd
Ste 4037
Boone, NC 28607
Phone (717) 471-4493

8700 Menchaca Rd
Ste 605
Austin, TX 78748
Phone (512) 262-9870

631 Mill St
Ste 101
San Marcos, TX 78666
Phone (512) 396-8540

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1205298106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD STE 403-7",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "717-471-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD STE 403-7",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "717-471-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Menchaca Rd Ste 605",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485377",
            "country_code": "US",
            "telephone_number": "717-471-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "LISA",
        "middle_name": "HUGHES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36211",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.