Individual provider Active NPI

Lisa Thomas, MS, LPC, ATR-BC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1578224614
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011111 Issued in VA
Practice address
900 Granby St Ste 206
Norfolk, VA 23510-2567
Phone
(757) 756-5254
NPI assigned
Dec 30, 2021
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011111 VA Primary

Addresses

Primary practice location

900 Granby St Ste 206
Norfolk, VA 23510-2567

Mailing address

900 Granby St Ste 206
Norfolk, VA 23510-2567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701011111VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Art Therapy Services PLLC Professional CurrentSince Oct 1, 2023 Accepting new patients
Beach Therapy & Consulting PLLC PastSince Jan 1, 2022 Accepting new patients

Locations

900 Granby St
Ste 206
Norfolk, VA 23510
Phone (757) 756-5254

Organizations & group practices 2

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1578224614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102567",
            "telephone_number": "757-756-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LISA",
        "credential": "MS, LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.