Individual provider Active NPI

Lisa A Thommen, LCPC

  • Professional Counselor
  • Ocean City, MD
National Provider Identifier
1346461738
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2152 Issued in MD
Practice address
12641 Ocean Gtwy Ste 96
Ocean City, MD 21842-9527
Phone
(410) 294-0764
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2152 MD Primary

Addresses

Primary practice location

12641 Ocean Gtwy Ste 96
Ocean City, MD 21842-9527

Mailing address

12641 Ocean Gtwy Ste 96
Ocean City, MD 21842-9527
Phone (410) 294-0764

Other identifiers 1

IdentifierTypeStateIssuer
15003700MedicaidMD

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC2152MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Wellness CurrentSince Sep 28, 2025 Accepting new patients

Locations

12641 Ocean Gtwy
Ste 96
Ocean City, MD 21842
Phone (410) 294-0764

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1346461738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12641 OCEAN GTWY STE 96",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429527",
            "telephone_number": "410-294-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 OCEAN GTWY STE 96",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429527",
            "telephone_number": "410-294-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMMEN",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15003700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

Verify at the official NPI Registry.