Active NPI
Lisa Marie Vespico-Mull, LPC, CAADC, SAP
- Professional Counselor
- Bluffton, SC
National Provider Identifier
1326552589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8502
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7624 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC008250 | PA | MD | Professional Counselor |
| 8502 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Your Change LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Professional Counselor
- Bluffton, SC
- NPI 1770349268
Addiction (Substance Use Disorder)
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": []
}
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- Allison Kathryn Vigil, N.P.
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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.