Lisa Pugh, LPC
Individual provider Active NPI Professional Counselor · Fairlawn, VA
NPI 1689076150 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1689076150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701005031 (VA)
- Practice address
- 6580 Valley Center Dr Ste 159
Fairlawn, VA 24141-5694 - Phone
- (540) 382-1751
- Fax
- (540) 382-1740
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0701005031 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005031 | VA | Yes |
Addresses
Primary practice location
6580 Valley Center Dr Ste 159
Fairlawn, VA 24141-5694
Mailing address
6580 Valley Center Dr Ste 159
Fairlawn, VA 24141-5694
Phone (540) 382-1751
Other practice location 1
601 E Main St
Christiansburg, VA 24073-2112
Phone (540) 382-1751
Other providers in Fairlawn, VA
- New River Valley Urgent Care LLC
- Whitney Chase Petrie
- Juan Polanco
- Polaski County Board of Supervisors
- Benjamin Carroll Poovey
- Gershon Silber
- Stephanie Whited, LCSW LLC
- Jacob Michael Sunderlage
- Tri-Medical LLC
- Virginia Highland Health PC
All providers in Fairlawn, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. 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.