Individual provider Active NPI

Lisa A Bebley, LPC, LICDC

  • Professional Counselor
  • Westerville, OH
National Provider Identifier
1407283849
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0800125 Issued in OH
Practice address
30 E College Ave # C
Westerville, OH 43081-1601
Phone
(614) 973-9582
NPI assigned
Sep 30, 2013
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C 0800125 OH
Counselor 101Y00000X E-1300055 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 111005 OH
Mental Health Counselor 101YM0800X E1300055 OH
Professional Counselor 101YP2500X C0800125 OH Primary
Professional Counselor 101YP2500X E1300055 OH

Addresses

Primary practice location

30 E College Ave # C
Westerville, OH 43081-1601

Mailing address

PO Box 29303
Columbus, OH 43229-0303
Phone (614) 973-9582

Other identifiers 2

IdentifierTypeStateIssuer
0336521MedicaidOH
1134527997MedicaidOH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C 0800125OHMDCounselor
E-1300055OHMDCounselor
111005OHMDAddiction (Substance Use Disorder) Counselor
E1300055OHMDMental Health Counselor
C0800125OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Christian Counseling Center Counselor CurrentSince Dec 15, 2024 Accepting new patients

Locations

30 E College Ave
Westerville, OH 43081
Phone (614) 972-1334

30 E College Ave
#C
Westerville, OH 43081
Phone (614) 973-9582

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1407283849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432290303",
            "telephone_number": "614-973-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E COLLEGE AVE # C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811601",
            "telephone_number": "614-973-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBLEY",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LPC, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C 0800125",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E-1300055",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "111005",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1300055",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0800125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1300055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336521",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134527997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.