Individual provider Active NPI

Lisa C Van Oossanen, LCSW

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1538743430
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L10525 Issued in OR
Practice address
439 S Union St Ste 203B
Lawrence, MA 01843-2837
Phone
(978) 687-5852
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 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 L10525 OR Primary

Addresses

Primary practice location

439 S Union St Ste 203B
Lawrence, MA 01843-2837

Mailing address

32 Tyler Rd
Lexington, MA 02420-2426
Phone (503) 720-8336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240810000120 MA Practitioner - Clinical Social Worker 7618346115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 Massachusetts Ave
Suite 3a
Lexington, MA 02420-5322
Phone (503) 720-8336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L10525ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys CurrentSince Sep 1, 2022 Accepting new patients

Locations

1775 Massachusetts Ave
Ste 3A
Lexington, MA 02420
Phone (503) 720-8336

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1538743430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TYLER RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202426",
            "telephone_number": "503-720-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S UNION ST STE 203B",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018432837",
            "telephone_number": "978-687-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OOSSANEN",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L10525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.