Individual provider Active NPI

Lisa Wooldridge, LPC

  • Professional Counselor
  • Magnolia, TX
National Provider Identifier
1225807761
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91962 Issued in TX
Practice address
317 Magnolia Blvd
Magnolia, TX 77355-1713
Phone
(346) 588-0045
NPI assigned
Dec 26, 2023
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 91962 TX Primary

Addresses

Primary practice location

317 Magnolia Blvd
Magnolia, TX 77355-1713

Mailing address

317 Magnolia Blvd
Magnolia, TX 77355-1713
Phone (346) 588-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260217001798 TX Practitioner - Mental Health Counselor 2466932074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

317 Magnolia Blvd
Magnolia, TX 77355-1713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91962TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Care Counseling Magnolia PLLC Professional CurrentSince Jan 6, 2026 Accepting new patients

Locations

119 Magnolia Blvd
Magnolia, TX 77355

317 Magnolia Blvd
Magnolia, TX 77355
Phone (346) 588-0045

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1225807761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MAGNOLIA BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773551713",
            "telephone_number": "346-588-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MAGNOLIA BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773551713",
            "telephone_number": "346-588-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.