Individual provider Active NPI

Lisa Ann Layne, M.A.

  • Mental Health Counselor
  • Clarks Summit, PA
National Provider Identifier
1326187899
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
301 W Grove St Ste 1K
Clarks Summit, PA 18411-2080
Phone
(570) 736-1800
NPI assigned
Feb 5, 2007
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 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 Primary

Addresses

Primary practice location

301 W Grove St Ste 1K
Clarks Summit, PA 18411-2080

Mailing address

547 Creekside LN
Lititz, PA 17543-6813
Phone (434) 326-6852

Other practice location 1

7410 Memphis Arlington Rd
Bartlett, TN 38135-1908
Phone (901) 252-7899

Other names 1

  • Ms. Lisa Ann Reo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250206003250 DC Practitioner - Mental Health Counselor 9537699426 Reassigns benefits to 1 organization
I20250310000515 PA Practitioner - Mental Health Counselor 9537699426 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 3, 2025 Accepting new patients
Lasting Wellness LLC PastSince Jun 2, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1326187899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CREEKSIDE LN",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175436813",
            "telephone_number": "434-326-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W GROVE ST STE 1K",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112080",
            "telephone_number": "570-736-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 Memphis Arlington Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381351908",
            "country_code": "US",
            "telephone_number": "901-252-7899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "REO",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.