Organization Active NPI

Lisa Luse Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • Bethesda, MD
National Provider Identifier
1275046963
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LISA LUSE THERAPY
Practice address
4940 Hampden LN
Bethesda, MD 20814-2945
Phone
(202) 607-2497
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Lisa Luse, LCSW-CNPI 1548512437
Title
Owner
Phone
(202) 607-2497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4940 Hampden LN
Bethesda, MD 20814-2945

Mailing address

2912 Rittenhouse St NW
Washington, DC 20015-1524
Phone (202) 365-0178

Other identifiers 1

IdentifierTypeStateIssuer
1548512437OtherNPI- INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Lisa Luse Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4940 Hampden Ln
Bethesda, MD 20814
Phone (202) 607-2497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1275046963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 RITTENHOUSE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151524",
            "telephone_number": "202-365-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 HAMPDEN LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142945",
            "telephone_number": "202-607-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LUSE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "LUSE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-607-2497",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- INDIVIDUAL NUMBER",
            "identifier": "1548512437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.