Lisa Anne Southworth, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3419 Issued in SC

Practice address

1709 Laurel St.
Columbia, SC 29201-2624

Phone

(803) 765-0700

Fax

(803) 765-1607

NPI assigned

Mar 9, 2007

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Post Trauma Resources, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1023130150
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1871625590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LAUREL ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012624",
            "telephone_number": "803-765-0700",
            "fax_number": "803-765-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LAUREL ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012624",
            "telephone_number": "803-765-0700",
            "fax_number": "803-765-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Orthopaedic Sports Medicne
• Southern Pain Specialists
• Southern Roots Periodontics: Implant & Laser Dentistry, LLC
• Southern Smiles Dental Studio Columbia LLC
• Southerncare, Inc. (SouthernCare Columbia)
• Jaelyn Souza
• Aubrey Katherine Sowell, M.D.
• Brittany Watson Sowers, PHARMD
• Jordan Sox
• Meghan Sox, FNP

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.