Active NPI
Lisa Lee Vanderpool, MS, LPC
- Professional Counselor
- Montgomery, TX
National Provider Identifier
1568070886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83653
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC7712 | FL | MD | Professional Counselor |
| 83653 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandstone Chiropratic, P.a. | Past | 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.
-
- Chiropractor
- Montgomery, TX
- NPI 1154585636
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
- Lisa Treleaven, EDD, LPC
- Khoa Truong, MD
- TX Southern Dental PPO PC (Scott Family Dental)
- Txpromed LLC (Tx Pro Med Pharmacy & Wellness)
- Valiant Psychology, PLLC
- Tracie Vickery
- Andrew Charles Von Eschenbach, MD
- Abigail Wagner
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3591)
- Wal-Mart Stores Texas, LP (Vision Center 30-3591)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.