Gina Lisiecki, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4232 Issued in OR

Practice address

393 Phelps Mountain LN SE
Silverton, OR 97381-9668

Phone

(971) 273-8710

NPI assigned

Sep 2, 2016

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1518414903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973810027",
            "telephone_number": "971-273-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 PHELPS MOUNTAIN LN SE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973819668",
            "telephone_number": "971-273-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISIECKI",
        "first_name": "GINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R Lentz, D.O.
• Judith Lienhard, RN
• Lincare Inc
• Lincare Inc.
• Angela Mae Lindstedt-Knutson, RN
• Charles G Lobdell, CRNA
• Sandy Lobdell, NP
• Frank King Lord III, M.D.
• Megan Lucas
• Mersadee Jeanne Lulay, LMT

• Mental Health Counselor in Silverton, OR
• Providers in Silverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.