Individual provider Active NPI

Lisa Lague-Greco, LCMHC

  • Mental Health Counselor
  • Jeffersonville, VT
National Provider Identifier
1295294205
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134142 Issued in VT
Practice address
230 Whitefield Dr
Jeffersonville, VT 05464-8912
Phone
(802) 782-4776
Fax
(802) 419-3655
NPI assigned
Mar 19, 2019
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134142 VT Primary

Addresses

Primary practice location

230 Whitefield Dr
Jeffersonville, VT 05464-8912

Mailing address

230 Whitefield Dr
Jeffersonville, VT 05464-8912
Phone (802) 782-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240420000154 VT Practitioner - Mental Health Counselor 4688013865 Practice locations: Jeffersonville, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 Whitefield Dr
Jeffersonville, VT 05464-8912
Phone (802) 782-4776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1295294205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WHITEFIELD DR",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054648912",
            "telephone_number": "802-782-4776",
            "fax_number": "802-419-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WHITEFIELD DR",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054648912",
            "telephone_number": "802-782-4776",
            "fax_number": "802-419-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUE-GRECO",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, VT

Sources for this page

Verify at the official NPI Registry.