Active NPI
Lisa Michelle Belknap, LPC
- Professional Counselor
- Longview, TX
National Provider Identifier
1669973673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73121
- Practice address
- 102 Commander Dr Ste 9
Longview, TX 75605-4608 - Phone
- (903) 263-9424
- NPI assigned
- Feb 24, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73121 | TX | Primary |
Addresses
Primary practice location
102 Commander Dr Ste 9
Longview, TX 75605-4608
Mailing address
113 Belle Riva Dr
Hallsville, TX 75650-6133
Phone (903) 263-9424
Other practice location 1
113 Belle Riva Dr
Hallsville, TX 75650-6133
Phone (903) 263-9424
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 |
|---|---|---|---|
| 73121 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669973673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BELLE RIVA DR",
"city": "HALLSVILLE",
"state": "TX",
"postal_code": "756506133",
"telephone_number": "903-263-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COMMANDER DR STE 9",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756054608",
"telephone_number": "903-263-9424"
}
],
"practiceLocations": [
{
"address_1": "113 Belle Riva Dr",
"address_purpose": "LOCATION",
"city": "Hallsville",
"state": "TX",
"postal_code": "756506133",
"country_code": "US",
"telephone_number": "903-263-9424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELKNAP",
"first_name": "LISA",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.