Individual provider Active NPI

Lisa K. Smith, LCPC, LPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1699309047
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13559 Issued in MD
Practice address
1707 Rosemont Ave
Frederick, MD 21702-4135
Phone
(301) 241-7017
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC13559 MD Primary
Professional Counselor 101YP2500X PC017828 PA

Addresses

Primary practice location

1707 Rosemont Ave
Frederick, MD 21702-4135

Mailing address

1707 Rosemont Ave
Frederick, MD 21702-4135
Phone (301) 241-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251211001322 PA Practitioner - Mental Health Counselor 8628562170 Reassigns benefits to 1 organization
I20251211001631 MD Practitioner - Mental Health Counselor 8628562170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

10711 Red Run Blvd
Suite 101
Owings Mills, MD 21117-5138
Phone (240) 201-3386

510 Old York Rd
Suite 453
Jenkintown, PA 19046
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC13559MDMDProfessional Counselor
PC017828PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA Mental Health CurrentSince Nov 10, 2025 Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

201 S Biscayne Blvd
Miami, FL 33131
Phone (833) 378-2552

10711 Red Run Blvd
Ste 101
Owings Mills, MD 21117
Phone (443) 492-8557

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1699309047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "301-241-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "301-241-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "K.",
        "credential": "LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13559",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.