Individual provider Active NPI

Lisa K. Arledge

  • Professional Counselor
  • Kerrville, TX
National Provider Identifier
1831749886
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78671 Issued in TX
Practice address
955 Water St
Kerrville, TX 78028-3508
Phone
(830) 257-6553
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 78671 TX Primary

Addresses

Primary practice location

955 Water St
Kerrville, TX 78028-3508

Mailing address

317 Sidney Baker St S Ste 400-354
Kerrville, TX 78028-5948

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

State licenses

LicenseStateTypeSpecialty
78671TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community MHMR Center Professional CurrentSince Sep 15, 2019 Accepting new patients

Locations

955 Water St
Kerrville, TX 78028
Phone (830) 257-6553

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1831749886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SIDNEY BAKER ST S STE 400-354",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283508",
            "telephone_number": "830-257-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLEDGE",
        "first_name": "LISA",
        "middle_name": "K.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.