Active NPI
Lisset Pickens, LPC
- Professional Counselor
- Stockbridge, GA
National Provider Identifier
1841533940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007153
- Practice address
- 1129 Hospital Dr
Suite 1a
Stockbridge, GA 30281-6393 - Phone
- (888) 551-1528
- NPI assigned
- Mar 27, 2013
- Last updated
- Feb 12, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007153 | GA | Primary |
Addresses
Primary practice location
1129 Hospital Dr
Suite 1a
Stockbridge, GA 30281-6393
Mailing address
950 Eagles Landing Pkwy
#150
Stockbridge, GA 30281-7343
Phone (888) 551-1528
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007153 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1841533940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 EAGLES LANDING PKWY",
"address_2": "#150",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817343",
"telephone_number": "888-551-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 HOSPITAL DR",
"address_2": "SUITE 1A",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816393",
"telephone_number": "888-551-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKENS",
"first_name": "LISSET",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.