Individual provider Active NPI

Lisa Marie Storey, LMHC

  • Professional Counselor
  • Worcester, MA
National Provider Identifier
1316244072
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7563 Issued in MA
Practice address
20 Cedar St
Worcester, MA 01609-2520
Phone
(508) 753-5425
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7563 MA
Professional Counselor 101YP2500X 7563 MA Primary

Addresses

Primary practice location

20 Cedar St
Worcester, MA 01609-2520

Mailing address

11 Checkerberry LN
Shrewsbury, MA 01545-3220
Phone (508) 615-4559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240628002508 MA Practitioner - Mental Health Counselor 9830633064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass Behavioral Health Center IncGroup PAC ID 5698152403, 5 clinicians

Practice addresses (Care Compare)

9 Hammond St
Worcester, MA 01610-1512
Phone (508) 219-7189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7563MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Behavioral Health Center Inc CurrentSince Jun 15, 2024 Accepting new patients
Children's Friend, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

9 Hammond St
Worcester, MA 01610
Phone (508) 219-7189

Organizations & group practices 2

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1316244072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHECKERBERRY LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453220",
            "telephone_number": "508-615-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092520",
            "telephone_number": "508-753-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7563",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "7563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.