Active NPI
Lisa Marie Connelly, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1679050512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64516
- Practice address
- 303 Jackson Hill St
Houston, TX 77007 - Phone
- (281) 200-9120
- Fax
- (281) 200-9765
- NPI assigned
- Jul 24, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64516 | TX | Primary |
Addresses
Primary practice location
303 Jackson Hill St
Houston, TX 77007
Mailing address
PO Box 2768
Houston, TX 77252-2768
Phone (281) 200-9120
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 |
|---|---|---|---|
| 64516 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Council on Recovery | Professional | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/councilonrecovery/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1679050512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2768",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772522768",
"telephone_number": "281-200-9120",
"fax_number": "281-200-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 JACKSON HILL ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77007",
"telephone_number": "281-200-9120",
"fax_number": "281-200-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.