Individual provider Active NPI

Lisa Anne Poppen, MA, LPC

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1801517669
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83852 Issued in TX
Practice address
3016 Independence Dr
New Braunfels, TX 78132-4477
Phone
(830) 402-5890
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 83852 TX
Professional Counselor 101YP2500X 83852 TX Primary

Addresses

Primary practice location

3016 Independence Dr
New Braunfels, TX 78132-4477

Mailing address

3016 Independence Dr
New Braunfels, TX 78132-4477
Phone (830) 402-5890

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
I20240626000930 TX Practitioner - Mental Health Counselor 1557805009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
83852TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Apr 18, 2024 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Apr 18, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1801517669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324477",
            "telephone_number": "830-402-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324477",
            "telephone_number": "830-402-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPEN",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83852",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.