Active NPI
Lisa G. Buchta, PHD
- Counseling Psychologist
- Grand Island, NE
National Provider Identifier
1447356233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 831
- Practice address
- 908 N Howard Ave Ste 102
Grand Island, NE 68803-3529 - Phone
- (083) 986-0503
- Fax
- (308) 398-6051
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 831 | NE | Primary |
Addresses
Primary practice location
908 N Howard Ave Ste 102
Grand Island, NE 68803-3529
Mailing address
908 N Howard Ave Ste 102
Grand Island, NE 68803-3529
Phone (308) 398-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96097 | Other | NE | BCBS AUXILARY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210331002262 | NE | Practitioner - Clinical Psychologist | 9133536519 | Practice locations: Grand Island, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Utah School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
908 N Howard Ave
Suite 102
Grand Island, NE 68803-3529
Phone (402) 806-1876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 831 | NE | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1447356233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N HOWARD AVE STE 102",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033529",
"telephone_number": "308-398-6050",
"fax_number": "308-398-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N HOWARD AVE STE 102",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033529",
"telephone_number": "083-986-0503",
"fax_number": "308-398-6051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHTA",
"first_name": "LISA",
"middle_name": "G.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NE",
"license": "831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUXILARY",
"identifier": "96097",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.