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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1400530 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring | Past | Accepting new patients | |
| Wellspring | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.