Active NPI
Lisa L. Grey, LCAC
- Addiction (Substance Use Disorder) Counselor
- Lebo, KS
National Provider Identifier
1801290622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 605
- Practice address
- 2611 Fauna Rd
Lebo, KS 66856 - Phone
- (620) 757-1059
- Fax
- (620) 256-9000
- NPI assigned
- Oct 22, 2014
- Last updated
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 605 | KS | Primary |
Addresses
Primary practice location
2611 Fauna Rd
Lebo, KS 66856
Mailing address
PO Box 106
Lebo, KS 66856-0106
Phone (620) 757-1059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12691970 | Other | KS | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa.grey@anewjourney.hush.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1801290622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "LEBO",
"state": "KS",
"postal_code": "668560106",
"telephone_number": "620-757-1059",
"fax_number": "620-256-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 FAUNA RD",
"city": "LEBO",
"state": "KS",
"postal_code": "66856",
"telephone_number": "620-757-1059",
"fax_number": "620-256-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "LISA",
"middle_name": "L.",
"credential": "LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12691970",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisa.grey@anewjourney.hush.com",
"affiliation": "N",
"endpointDescription": "secured/encrypted email service",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "password protected when sending files",
"address_1": "2611 Fauna Rd",
"city": "Lebo",
"state": "KS",
"country_code": "US",
"postal_code": "668569271",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lebo, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.