NPIMap

Organization Active NPI

Lisalynn, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubois, PA
National Provider Identifier
1871268904
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LISALYNN, LLC
Doing business as
Green Pastures Mental Health services
Practice address
1912 Bay Rd
Dubois, PA 15801
Phone
(308) 520-2988
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Lisa Lynn Hengen, DNPNPI 1467776898
Title
Owner
Phone
(308) 520-2988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1912 Bay Rd
Dubois, PA 15801

Mailing address

967 Treasure LK
Du Bois, PA 15801-9022
Phone (308) 520-2988

Other practice location 1

5789 Whinstone Way
Chambersburg, PA 17202-7380
Phone (814) 591-2907

Other names 1

  • Green Pastures Mental Health services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@lisalynnllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907001235 PA Part B Supplier - Clinic/Group Practice 8628432895 Receives reassigned benefits from 4 practitioners
Practice locations: Du Bois, PA; Chambersburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1871268904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019022",
            "telephone_number": "308-520-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 BAY RD",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "308-520-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5789 Whinstone Way",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172027380",
            "country_code": "US",
            "telephone_number": "814-591-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LISALYNN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HENGEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-520-2988",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@lisalynnllc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "address_1": "1912 BAY RD",
            "city": "Dubois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Green Pastures Mental Health services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Pastures Mental Health services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.