Active NPI
Lisa E Allen, LPC
- Mental Health Counselor
- Chesapeake, VA
National Provider Identifier
1609937077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701003582LPC
- Practice address
- 224 Great Bridge Blvd
Chesapeake Comm Serv Board
Chesapeake, VA 23320 - Phone
- (757) 547-9334
- Fax
- (757) 819-6292
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701003582LPC | VA | Primary |
Addresses
Primary practice location
224 Great Bridge Blvd
Chesapeake Comm Serv Board
Chesapeake, VA 23320
Mailing address
PO Box 1647
224 Great Bridge Blvd Chesapeake Community Services Boa
Chesapeake, VA 23320
Phone (757) 547-9334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003582LPC | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609937077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1647",
"address_2": "224 GREAT BRIDGE BLVD CHESAPEAKE COMMUNITY SERVICES BOA",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-547-9334",
"fax_number": "757-819-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 GREAT BRIDGE BLVD",
"address_2": "CHESAPEAKE COMM SERV BOARD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-547-9334",
"fax_number": "757-819-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LISA",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701003582LPC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.