Lisa Ann Coppola, LMHC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10015 Issued in MA

Practice address

85 E St
South Portland, ME 04106-2870

Phone

(603) 571-0994

NPI assigned

Dec 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 24, 2024 through Oct 24, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1437665205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062870",
            "telephone_number": "603-571-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062870",
            "telephone_number": "603-571-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LMHC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Francis Conti, D.V.M
• Continuemed Inc
• Christine Joan Cooke, PH.D.
• Noelle Christine Cooper, AGNP-C
• Christina Marie Coppola, OTR/L
• June Coravos, LCPC,LADC,CCS
• Corecover, LLC
• Corey and Then PA
• John Bede Corey, DMD PA
• Susan Haskell Correia

• All providers in South Portland, ME
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.