Organization Active NPI

L & a Professional Services, LLC

  • Professional Counselor
  • Cypress, TX
National Provider Identifier
1518459205
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69929 Issued in TX
Legal business name
L & A PROFESSIONAL SERVICES, LLC
Practice address
17240 Huffmeister Rd Ste 104
Cypress, TX 77429-4694
Phone
(832) 683-4275
Fax
(832) 683-4267
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Dr. Lisa A Wines, PHD, LPCNPI 1780039107
Title
Ceo
Phone
(832) 683-4275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 69929 TX Primary

Addresses

Primary practice location

17240 Huffmeister Rd Ste 104
Cypress, TX 77429-4694

Mailing address

PO Box 2453
Cypress, TX 77410-2453
Phone (832) 683-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607002880 TX Part B Supplier - Clinic/Group Practice 9436691235 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

17240 Huffmeister Rd
Ste 104
Cypress, TX 77429
Phone (832) 683-4275

25511 Budde Rd
Ste 3604
The Woodlands, TX 77380
Phone (832) 683-4275

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1518459205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2453",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774102453",
            "telephone_number": "832-683-4275",
            "fax_number": "832-683-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 HUFFMEISTER RD STE 104",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294694",
            "telephone_number": "832-683-4275",
            "fax_number": "832-683-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & A PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "WINES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-683-4275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.