Lisa Freeman, LPCC

Individual provider Active NPI Counselor · Dayton, OH

NPI 1396148557 · NPPES record last updated Jun 22, 2026

Key facts

NPI
1396148557
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
E2607059 (OH)
Practice address
453 Patterson Rd
Dayton, OH 45419-4343
Phone
(888) 648-9355
Fax
(888) 648-9355
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C1400530OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Past Accepting new patients
Wellspring Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E2607059 OH Yes

Addresses

Primary practice location

453 Patterson Rd
Dayton, OH 45419-4343

Mailing address

453 Patterson Rd
Dayton, OH 45419-4343
Phone (888) 648-9355

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2026.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1396148557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194343",
            "telephone_number": "888-648-9355",
            "fax_number": "888-648-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194343",
            "telephone_number": "888-648-9355",
            "fax_number": "888-648-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "LISA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E2607059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

All providers in Dayton, OH · Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.