Individual provider Active NPI

Lisa Giacobbe, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1467811802
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3578 Issued in MD
Practice address
316 Regester Ave
Baltimore, MD 21212-1542
Phone
(410) 274-8642
NPI assigned
Feb 13, 2016
Last updated
Feb 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3578 MD Primary

Addresses

Primary practice location

316 Regester Ave
Baltimore, MD 21212-1542

Mailing address

316 Regester Ave
Baltimore, MD 21212-1542
Phone (410) 274-8642

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

LicenseStateTypeSpecialty
LC3578MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alive and Well Counseing LLC Professional Current Accepting new patients

Locations

6600 York Rd
Ste 110
Baltimore, MD 21212
Phone (410) 231-3016

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.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1467811802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 REGESTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121542",
            "telephone_number": "410-274-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 REGESTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121542",
            "telephone_number": "410-274-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOBBE",
        "first_name": "LISA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.