Lisa Willard, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701001962 Issued in VA

Practice address

930 Redgate Ave
Norfolk, VA 23507-1518

Phone

(757) 626-3733

Fax

(757) 626-3331

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restorer of Broken Walls PC

  • Counselor
  • Chesapeake, VA
  • NPI 1811080047
  Medicare reassignment NPD
• Edward Goldenberg, MD PSC PC

  • Group Psychotherapy Psychologist
  • Norfolk, VA
  • NPI 1619081742
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386717171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 REDGATE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071518",
            "telephone_number": "757-626-3733",
            "fax_number": "757-626-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 REDGATE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071518",
            "telephone_number": "757-626-3733",
            "fax_number": "757-626-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Claire Wilcox
• Kathleen Elizabeth Wiley, MD
• Phillip Curtis Wilkerson, ATC
• Charles A Wilkes, MD
• Nathan Willaford, DPT
• Richard Norman Willard, MD
• Sarah Willard, FNP
• Elizabeth Jordan Willette, NP
• William E Brown DDS LTD
• William E. Tuggle, D.D.S. PC

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.