Lisa Michelle Stephans, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC005882 Issued in GA

Practice address

12586 North Main Street
Trenton, GA 30752

Phone

(706) 956-5526

Fax

(706) 639-2054

NPI assigned

Jun 15, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lookout Mountain Community ServicesGroup PAC ID 4880682822, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1790782431
  Medicare reassignment Care Compare group NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1386716124
  NPD

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649700212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIZE ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307283346",
            "telephone_number": "706-638-5580",
            "fax_number": "706-639-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12586 NORTH MAIN STREET",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "30752",
            "telephone_number": "706-956-5526",
            "fax_number": "706-639-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Fant Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307423307",
            "country_code": "US",
            "telephone_number": "706-861-3387",
            "fax_number": "706-639-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHANS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00604513-GA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ellen Robinson
• Lindsay Michelle Ryan, FNP-C, IBCLC
• Ritaben Darshit Shah
• Cindy Marie Simmons, PA-C
• Amanda Nicole Smith, MSN, FNP-BC
• Clarissa Swafford, PHARMD
• Anna E Thomas, RD LDN
• Danielle C Townsend, LD
• Trenton Family Dentistry, LLC
• Trenton Physical Therapy

• Mental Health Counselor in Trenton, GA
• Providers in Trenton, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.