Lisa Marie Stoneberg, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

64501005551 Issued in MI

Practice address

520 Superior St
Port Huron, MI 48060-3838

Phone

(810) 984-4202

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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 and National Provider Directory roles.

• Professional Counseling Center,P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Port Huron, MI
  • NPI 1225049760
  Medicare reassignment
• Professional Counseling Center, P.C.

  • Professional Counselor
  • Port Huron, MI
  • NPI 1548651714
  NPD
• Community Counseling and Mentoring Services

  • Community/Behavioral Health Agency
  • Port Huron, MI
  • NPI 1376741165
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1295882702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603838",
            "telephone_number": "810-984-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603838",
            "telephone_number": "810-984-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBERG",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "64501005551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Stewart
• Chloe Alexis Stieler, PA-C
• Barbara Helen Stocker, MA, LPC
• Taylor Ann Stocker, FNP-C
• Elizabeth Teressa Stone, LMSW
• Jeffrey D Stoner
• Jonathan Anthony Stopyak, DDS
• Amy Storey, NP
• Sara Storm, LMSW
• Kristy Marie Stoutenburg, FNP-C

• Mental Health Counselor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.