Individual provider Active NPI

Lisa Faye Wedgeworth, LPC, LCDC

  • Professional Counselor
  • Denton, TX
National Provider Identifier
1609412519
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
94173 Issued in TX
Practice address
3716 Allison Dr
Denton, TX 76207-6008
Phone
(940) 799-1768
NPI assigned
Nov 26, 2019
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16850 TX
Mental Health Counselor 101YM0800X 068.0136803TELE VT
Professional Counselor 101YP2500X 94173 TX Primary

Addresses

Primary practice location

3716 Allison Dr
Denton, TX 76207-6008

Mailing address

3716 Allison Dr
Denton, TX 76207-6008
Phone (940) 799-1768

Other practice location 1

207 W Hickory St Ste 301
Denton, TX 76201-4139
Phone (940) 445-8719

Other names 1

  • Lisa Waldon Former name

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

State licenses

LicenseStateTypeSpecialty
16850TXMDAddiction (Substance Use Disorder) Counselor
068.0136803TELEVTMDMental Health Counselor
94173TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1609412519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 ALLISON DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762076008",
            "telephone_number": "940-799-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 ALLISON DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762076008",
            "telephone_number": "940-799-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 W Hickory St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762014139",
            "country_code": "US",
            "telephone_number": "940-445-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDGEWORTH",
        "first_name": "LISA",
        "middle_name": "FAYE",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16850",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136803TELE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "94173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WALDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.