Individual provider Active NPI

Lisa Jayne Houle, MA, LCMHC, MLADC

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1285766436
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
504 Issued in NH
Practice address
5 Warren St Ste 2B
Concord, NH 03301-4044
Phone
(603) 715-5263
Fax
(603) 715-5278
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 564 NH
Mental Health Counselor 101YM0800X 504 NH Primary

Addresses

Primary practice location

5 Warren St Ste 2B
Concord, NH 03301-4044

Mailing address

5 Warren St Ste B
Concord, NH 03301-4044
Phone (603) 715-5263

Other practice location 1

235 Hanover St
Manchester, NH 03104-6115
Phone (603) 622-3020 ext. 18

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240315001655 NH Practitioner - Mental Health Counselor 7810112844 Practice locations: Concord, NH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Warren St
Suite 2B
Concord, NH 03301-4044
Phone (603) 715-5263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
504NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bicentennial Square Counseling Associates, PLLC PastSince Jul 1, 2006 Accepting new patients

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1285766436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WARREN ST STE B",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014044",
            "telephone_number": "603-715-5263",
            "fax_number": "603-715-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WARREN ST STE 2B",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014044",
            "telephone_number": "603-715-5263",
            "fax_number": "603-715-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Hanover St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031046115",
            "country_code": "US",
            "telephone_number": "603-622-3020 x18",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULE",
        "first_name": "LISA",
        "middle_name": "JAYNE",
        "credential": "MA, LCMHC, MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.