Individual provider Active NPI

Lisa Lee Vanderpool, MS, LPC

  • Professional Counselor
  • Montgomery, TX
National Provider Identifier
1568070886
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83653 Issued in TX
Practice address
123 Blue Heron Dr Ste 102
Montgomery, TX 77316-3192
Phone
(936) 449-8053
NPI assigned
Jul 22, 2020
Last updated
May 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83653 TX Primary
Professional Counselor 101YP2500X TPMC7712 FL

Addresses

Primary practice location

123 Blue Heron Dr Ste 102
Montgomery, TX 77316-3192

Mailing address

22870 Highway 105 W Apt 122
Montgomery, TX 77356-2233
Phone (936) 900-8469

Other practice location 1

22870 Highway 105 W Apt 122
Montgomery, TX 77356-2233
Phone (936) 900-8469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TPMC7712FLMDProfessional Counselor
83653TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sandstone Chiropratic, P.a. PastSince Aug 2, 2020 Accepting new patients

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1568070886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22870 HIGHWAY 105 W APT 122",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562233",
            "telephone_number": "936-900-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BLUE HERON DR STE 102",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163192",
            "telephone_number": "936-449-8053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22870 Highway 105 W Apt 122",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773562233",
            "country_code": "US",
            "telephone_number": "936-900-8469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "LISA",
        "middle_name": "LEE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83653",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC7712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.