Individual provider Active NPI

Lisa Annette Rich, M.A. LPC

  • Mental Health Counselor
  • Barboursville, WV
National Provider Identifier
1558512954
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
WV 1758 Issued in WV
Practice address
3062 Wilson Rd
Barboursville, WV 25504-9674
Phone
(304) 633-9938
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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 WV 1758 WV Primary

Addresses

Primary practice location

3062 Wilson Rd
Barboursville, WV 25504-9674

Mailing address

228 Adams Ave
Huntington, WV 25701-1135
Phone (304) 633-9938

Other names 1

  • Miss Lisa Annette Rich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240122000023 WV Practitioner - Mental Health Counselor 9234581752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stultz Sleep Study Services, PLLCGroup PAC ID 0840316204, 5 clinicians

Practice addresses (Care Compare)

6171 Childers Rd
Barboursville, WV 25504-1227
Phone (304) 733-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
WV 1758WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stultz Sleep Study Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

6171 Childers Rd
Barboursville, WV 25504
Phone (304) 733-5380

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1558512954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ADAMS AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011135",
            "telephone_number": "304-633-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 WILSON RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255049674",
            "telephone_number": "304-633-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "name_prefix": "Miss",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "WV 1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RICH",
            "middle_name": "ANNETTE",
            "prefix": "MISS",
            "credential": "M.A. LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.