Individual provider Active NPI

Lisa Ann Wines, PH.D., CEO, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1780039107
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69929 Issued in TX
Practice address
5900 Memorial Dr Ste 218
Houston, TX 77007-8008
Phone
(832) 683-4275
Fax
(832) 683-4267
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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 69929 TX Primary

Addresses

Primary practice location

5900 Memorial Dr Ste 218
Houston, TX 77007-8008

Mailing address

PO Box 2453
Cypress, TX 77410-2453
Phone (832) 683-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240607003094 TX Practitioner - Mental Health Counselor 0345782140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
69929TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
L & a Professional Services, LLC Professional CurrentSince Apr 18, 2024 Accepting new patients

Locations

25511 Budde Rd
Ste 3604
The Woodlands, TX 77380
Phone (832) 683-4275

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1780039107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2453",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774102453",
            "telephone_number": "832-683-4275",
            "fax_number": "832-683-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078008",
            "telephone_number": "832-683-4275",
            "fax_number": "832-683-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., CEO, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.