Lisa Renee' Ford, LADC, LPC, LMHC
Individual provider Active NPI Professional Counselor · Litchfield, CT
NPI 1427282953 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1427282953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001800 (CT)
- Practice address
- 374 E Litchfield Rd
Litchfield, CT 06759-2901 - Phone
- (203) 815-8267
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Step Up Care PC LLC
Practice addresses (Care Compare)
111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304002628 | CT | Practitioner - Mental Health Counselor | 5890130546 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MATS-4751 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 001800 | CT | MD | Speech-Language Pathologist |
| 000845 | CT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Neuropsychology, LLC | Current |
Accepting new patients | |
| Horticulture Therapy Farm, LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Advanced Telepsych PLLC | Current |
Accepting new patients | |
| Step Up Care PC LLC | Professional | Current |
Accepting new patients |
Locations
609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007
111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540
770 Saybrook Rd
Middletown, CT 06457
Phone (888) 344-3893
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MATS-4751 | CT | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000845 | CT | |
| Professional Counselor | 101YP2500X | 001800 | CT | Yes |
Addresses
Primary practice location
374 E Litchfield Rd
Litchfield, CT 06759-2901
Mailing address
374 E Litchfield Rd
Litchfield, CT 06759-2901
Phone (203) 815-8267
Other providers in Litchfield, CT
- Tricia Ann Erickson
- Expand Abilities
- William F. Fabbri
- Lindsay Jones Farmer
- Sarah Alden Fisher
- Christofer John Fort
- Megan Garceau
- Gary N. Shields DPM LLC
- Melinda Hope Girardin
- Jennifer Ann Grant
All providers in Litchfield, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.