Individual provider Active NPI

Lacy Lynn Isenburg, MA

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1750914206
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79539 Issued in TX
Practice address
7676 Hillmont St Ste 344-04
Houston, TX 77040-6400
Phone
(832) 224-5092
NPI assigned
Feb 12, 2020
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 79539 TX Primary

Addresses

Primary practice location

7676 Hillmont St Ste 344-04
Houston, TX 77040-6400

Mailing address

7676 Hillmont St Ste 344-04
Houston, TX 77040-6400
Phone (832) 224-5092

Other identifiers 1

IdentifierTypeStateIssuer
79539OtherTXLPC-I

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
79539TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Passionate Life Therapeutic Alliance, PLLC Professional CurrentSince Jul 16, 2023 Accepting new patients
Kimberly Boyd Counseling Center, LLC Mental Health PastSince Feb 16, 2020 Accepting new patients

Locations

7676 Hillmont St
Ste 344-04
Houston, TX 77040
Phone (832) 224-5092

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1750914206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 HILLMONT ST STE 344-04",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406400",
            "telephone_number": "832-224-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 HILLMONT ST STE 344-04",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406400",
            "telephone_number": "832-224-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBURG",
        "first_name": "LACY",
        "middle_name": "LYNN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC-I",
            "identifier": "79539",
            "state": "TX"
        }
    ],
    "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 Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.