Individual provider Active NPI

Lisa M Tarpley, LCPC

  • Professional Counselor
  • Eldersburg, MD
National Provider Identifier
1740702455
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7417 Issued in MD
Practice address
1311 Londontown Blvd Ste 130a
Eldersburg, MD 21784-6439
Phone
(410) 356-9208
Fax
(443) 200-0267
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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 LC7417 MD Primary

Addresses

Primary practice location

1311 Londontown Blvd Ste 130a
Eldersburg, MD 21784-6439

Mailing address

9199 Reisterstown Rd Ste 105B
Owings Mills, MD 21117-4513
Phone (410) 356-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240119000386 DC Practitioner - Mental Health Counselor 6800248402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vesta, Inc.Group PAC ID 3678568375, 20 clinicians

Practice addresses (Care Compare)

20410 Observation Dr
Suite 108
Germantown, MD 20876-6419
Phone (240) 296-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vesta, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Vesta, Inc. Current Accepting new patients
Vesta, Inc. Current Accepting new patients
Cedar Ridge Counseling Centers LLC PastSince May 3, 2011 Accepting new patients

Locations

3900 Forestville Rd
Forestville, MD 20747
Phone (240) 296-5848

20410 Observation Dr
Ste 108
Germantown, MD 20876
Phone (240) 296-5862

9301 Annapolis Rd
Ste 300
Lanham, MD 20706
Phone (240) 296-5848

1202 Annapolis Rd
Ste F
Odenton, MD 21113
Phone (240) 296-1370

Organizations & group practices 4

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1740702455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 105B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "410-356-9208",
            "fax_number": "443-200-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD STE 130A",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846439",
            "telephone_number": "410-356-9208",
            "fax_number": "443-200-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARPLEY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.