Active NPI
Lisa Buscemi
- Mental Health Counselor
- Mount Pleasant, SC
National Provider Identifier
1619786324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10247
- Practice address
- 503 Wando Park Blvd Ste 205P
Mount Pleasant, SC 29464-7868 - Phone
- (704) 572-0494
- NPI assigned
- Jan 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10247 | SC | Primary |
Addresses
Primary practice location
503 Wando Park Blvd Ste 205P
Mount Pleasant, SC 29464-7868
Mailing address
603 Robyns Glen Dr
Mount Pleasant, SC 29464-7866
Phone (704) 572-0494
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1619786324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 ROBYNS GLEN DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647866",
"telephone_number": "704-572-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 WANDO PARK BLVD STE 205P",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647868",
"telephone_number": "704-572-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCEMI",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "10247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.