Individual provider Active NPI

Lisa Michelle Belknap, LPC

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1669973673
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73121 Issued in TX
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
73121TXMDProfessional 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.

Verify at the official NPI Registry.