Individual provider Active NPI

Lisa Marie Vespico-Mull, LPC, CAADC, SAP

  • Professional Counselor
  • Bluffton, SC
National Provider Identifier
1326552589
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8502 Issued in SC
Practice address
293 University Pkwy
Bluffton, SC 29909-6072
Phone
(484) 577-3760
Fax
(843) 208-6168
NPI assigned
Nov 27, 2017
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7624 PA
Professional Counselor 101YP2500X PC008250 PA
Professional Counselor 101YP2500X 8502 SC Primary

Addresses

Primary practice location

293 University Pkwy
Bluffton, SC 29909-6072

Mailing address

293 University Pkwy
Bluffton, SC 29909-6072
Phone (610) 763-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7624PAMDAddiction (Substance Use Disorder) Counselor
PC008250PAMDProfessional Counselor
8502SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Your Change LLC Addiction (Substance Use Disorder) CurrentSince Feb 25, 2024 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, 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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1326552589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 UNIVERSITY PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299096072",
            "telephone_number": "610-763-2411",
            "fax_number": "843-208-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 UNIVERSITY PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299096072",
            "telephone_number": "484-577-3760",
            "fax_number": "843-208-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESPICO-MULL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, CAADC, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "7624",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008250",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.