Lisa Carol Carpenter, LPC
Individual provider Active NPI Professional Counselor · Malvern, AR
NPI 1679540413 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1679540413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P09070043 (AR)
- Practice address
- 302 S Main St
Malvern, AR 72104-3737 - Phone
- (501) 229-1515
- Fax
- (888) 337-2305
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P09070043 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa C Carpenter LPC PA Inc | Professional | Current | Accepting new patients |
Locations
302 S Main St
Malvern, AR 72104
Phone (501) 229-1515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P09070043 | AR | Yes |
Addresses
Primary practice location
302 S Main St
Malvern, AR 72104-3737
Mailing address
302 S Main St
Malvern, AR 72104-3737
Phone (501) 229-1515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116399726 | Medicaid | AR |
Other names
- Lisa Carpenter
Other providers in Malvern, AR
- Carrie Ella Cannon
- Veronica Lea Cannon
- Caitlyn Cantrell
- Christina Cantrell
- Laura Lynn Carnahan
- Mary Ann Carthan
- Desirae D Cavaness
- Central Arkansas Development Council
- Chad D Matone DDS PA
- Kristin Lee Chaffee
All providers in Malvern, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.