Jennifer Anne Lisa, PMHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R178139 Issued in MD

Practice address

1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114

Phone

(443) 530-6921

NPI assigned

Aug 23, 2023

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Aspire Wellness Center IncGroup PAC ID 2961685706, 41 clinicians

Alliance Wellness Solutions LLCGroup PAC ID 8628517893, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Alliance Wellness Solutions LLC

  dba Alliance Wellness Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
  • NPI 1104604099
  Medicare reassignment Care Compare group NPD
• Aspire Wellness Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
  • NPI 1780971630
  NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1245014869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 8",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 8",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Providence Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212862979",
            "country_code": "US",
            "telephone_number": "667-400-3679",
            "fax_number": "667-400-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISA",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R178139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life of Abundance Behavioral Health Services LLC
• Lifebridge Sports Medicine and Rehabilitation LLC (NovaCare Rehabilitation)
• Lifespan Rehab LLC.
• Lifeway Holdings LLC (Lifeway Pharmacy, LLC)
• Rachael Lindo, LMSW
• Danielle Lloyd, M.A., C.A.S., NCSP
• Sarice Lui, OD
• Kelly Michele Maher, LCPC
• Monique Maison, RPH
• Kimberly Erin Majerowicz, FNP-C

• Nurse Practitioner in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.