Active NPI
Lisa A Bebley, LPC, LICDC
- Professional Counselor
- Westerville, OH
National Provider Identifier
1407283849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0800125
- Practice address
- 30 E College Ave # C
Westerville, OH 43081-1601 - Phone
- (614) 973-9582
- NPI assigned
- Sep 30, 2013
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0336521 | Medicaid | OH | |
| 1134527997 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C 0800125 | OH | MD | Counselor |
| E-1300055 | OH | MD | Counselor |
| 111005 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E1300055 | OH | MD | Mental Health Counselor |
| C0800125 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Christian Counseling Center | Counselor | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Westerville, OH
- NPI 1083278261
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
- Beachside Therapy & Wellness LLC
- Beacon Orthopaedics & Sports Medicine LTD (OrthoNeuro DBA OrthoAlliance of Ohio)
- Christian Joseph Beal
- Shadae K Beale, MD
- Corey Tapscott Beals, M.D.
- Alexis Dawn Bebout
- Katherine Tierney Becher, APRN-CNP
- Stephanie R. Beck, APRN-CNP
- Corey A Becker, APRN-CNP
- Kathryn Becker
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.