Individual provider Active NPI

Lisa Stivers, LMHC

  • Mental Health Counselor
  • Elmira, NY
National Provider Identifier
1790241818
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009204 Issued in NY
Practice address
244 W Water St Ste 200
Elmira, NY 14901-2926
Phone
(607) 737-5215
Fax
(607) 735-2192
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009204 NY Primary

Addresses

Primary practice location

244 W Water St Ste 200
Elmira, NY 14901-2926

Mailing address

PO Box 546
Geneseo, NY 14454-0546
Phone (585) 245-1840

Other practice location 1

6127 Logan Rd
Mount Morris, NY 14510-9718
Phone (585) 245-1840

Other identifiers 1

IdentifierTypeStateIssuer
07532841MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231229000197 NY Practitioner - Mental Health Counselor 1850741174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casa-Trinity IncGroup PAC ID 8527448000, 10 clinicians

Practice addresses (Care Compare)

4612 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 991-5012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casa-Trinity, Inc. CurrentSince Dec 14, 2024 Accepting new patients

Locations

244 W Water St
Ste 200
Elmira, NY 14901
Phone (607) 737-5215

4612 Millennium Dr
Geneseo, NY 14454
Phone (585) 443-2018

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1790241818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144540546",
            "telephone_number": "585-245-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 W WATER ST STE 200",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012926",
            "telephone_number": "607-737-5215",
            "fax_number": "607-735-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6127 Logan Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Morris",
            "state": "NY",
            "postal_code": "145109718",
            "country_code": "US",
            "telephone_number": "585-245-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIVERS",
        "first_name": "LISA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07532841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.