Individual provider Active NPI

Lisa Amy Ford, MS

  • Mental Health Counselor
  • Langhorne, PA
National Provider Identifier
1437825882
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone
(215) 757-6916
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4 Cornerstone Dr
Langhorne, PA 19047-1314

Mailing address

4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone (215) 757-6916

Other names 1

  • Lisa Amy Wiechert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820000779 PA Practitioner - Mental Health Counselor 3577001783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newtown Psychotherapy CenterGroup PAC ID 5294001814, 11 clinicians

Practice addresses (Care Compare)

1717 Newtown Langhorne Rd
One Summit Square Suite 304
Langhorne, PA 19047-1091
Phone 21588244452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Newtown Psychotherapy Center Mental Health CurrentSince Aug 31, 2024 Accepting new patients

Locations

1 Summit Square Ctr
Ste 304
Langhorne, PA 19047
Phone (215) 882-4445

1717 Langhorne Newtown Rd
Ste 304
Langhorne, PA 19047
Phone (215) 882-4445

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1437825882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORNERSTONE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471314",
            "telephone_number": "215-757-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORNERSTONE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471314",
            "telephone_number": "215-757-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "LISA",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WIECHERT",
            "middle_name": "AMY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.