Lisa Jinyoung Lee, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC20002226 Issued in DC

Practice address

14668 Battery Ridge LN
Centreville, VA 20120-2896

Phone

(703) 615-5382

NPI assigned

Jul 26, 2023

Reactivated

Aug 20, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1245911056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14668 BATTERY RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202896",
            "telephone_number": "703-615-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14668 BATTERY RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202896",
            "telephone_number": "703-615-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LISA",
        "middle_name": "JINYOUNG",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-06-13",
        "deactivation_date": "2025-06-18",
        "reactivation_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC20002226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luong-Hung N Le, DDS
• Louise A Leblanc, LNP
• Alice Jisoo Lee, M.D
• Angella Lee
• Benjamin K Lee, D.M.D.
• Michelle Lee, PHARMD
• Monica Lee
• So Jung Lee, D.M.D.
• Sora Lee, L.AC
• Legacy Smiles Group Dba MC Orthodontics PLLC

• Professional Counselor in Centreville, VA
• Providers in Centreville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.