Individual provider Active NPI

Lisa Rene Klinger, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1801930664
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003260 Issued in GA
Practice address
2408 Westport Cir SW
Marietta, GA 30064-5705
Phone
(404) 644-0118
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 3260 GA
Professional Counselor 101YP2500X 003260 GA Primary

Addresses

Primary practice location

2408 Westport Cir SW
Marietta, GA 30064-5705

Mailing address

2408 Westport Cir SW
Marietta, GA 30064-5705
Phone (404) 644-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • 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
I20260305004284 GA Practitioner - Mental Health Counselor 6901388214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2408 Westport Cir SW
Marietta, GA 30064-5705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3260GAMDMental Health Counselor
003260GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Counseling Solutions LLC Mental Health CurrentSince Jan 14, 2026 Accepting new patients
Sheltered Cove Counseling Center Inc Professional Past Accepting new patients

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1801930664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WESTPORT CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645705",
            "telephone_number": "404-644-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WESTPORT CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645705",
            "telephone_number": "404-644-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "LISA",
        "middle_name": "RENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "3260",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.