NPIMap

Individual provider Active NPI

Lisa Fuller, LPC

  • Professional Counselor
  • Searcy, AR
National Provider Identifier
1336867670
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2501006 Issued in AR
Practice address
1507 E Race Ave
Searcy, AR 72143-4661
Phone
(501) 305-2359
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A2206021 AR
Professional Counselor 101YP2500X P2501006 AR Primary

Addresses

Primary practice location

1507 E Race Ave
Searcy, AR 72143-4661

Mailing address

910 W Arch Ave
Searcy, AR 72143-5212
Phone (501) 281-5137

Other practice location 1

1200 S Main St
Searcy, AR 72143-7321
Phone (501) 278-3155

Other names 1

  • Lisa Burley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319002206 AR Practitioner - Mental Health Counselor 3072035054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

2725 Hwy 25B
Heber Springs, AR 72543-6306
Phone (501) 362-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2206021ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Mar 17, 2025 Accepting new patients
White County Medical Center CurrentSince Mar 17, 2025 Accepting new patients
White County Medical Center Current Accepting new patients

Locations

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

1200 S Main St
Searcy, AR 72143
Phone (501) 268-7171

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 3

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1336867670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W ARCH AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435212",
            "telephone_number": "501-281-5137",
            "fax_number": "877-310-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434661",
            "telephone_number": "501-305-2359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Main St",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721437321",
            "country_code": "US",
            "telephone_number": "501-278-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2206021",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2501006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BURLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.