Lisa Manning Brothwell, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

011047-1 Issued in NY

Practice address

552 Linden Ave
East Aurora, NY 14052-2915

Phone

(716) 667-2105

Fax

(716) 655-6077

NPI assigned

Oct 29, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dawn M Walker, LCSW, PLLC

  • Clinical Social Worker
  • East Aurora, NY
  • NPI 1184982316
  NPD (past)
• Hulbert Counseling Services LCSW PC

  • Clinical Social Worker
  • Jamestown, NY
  • NPI 1720120629
  NPD (past)

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881770196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-667-2105",
            "fax_number": "716-655-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-667-2105",
            "fax_number": "716-655-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHWELL",
        "first_name": "LISA",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011047-1",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "011047-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Brahaney, LPN
• Heather Braun Buccieri, DDS MS
• David Allan Braun, DDS
• Tara Brewer, P.A.
• Ashley Joanne Brotherton
• Sarah Manning Brothwell, M.S.
• Ernestine Shanika Bryant, PBT(ASCP)CM
• Susan Lynn Bryant
• Buffalo Eye Optometry PLLC
• Buffalo Synapse Support, LLC

• Counseling Psychologist in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.