Individual provider Active NPI

Lisa Grant-Feeley, LPC

  • Professional Counselor
  • Flourtown, PA
National Provider Identifier
1891248738
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008900 Issued in PA
Practice address
1811 Bethlehem Pike Ste 212-213
Flourtown, PA 19031-1111
Phone
(267) 625-2565
Fax
(215) 886-7678
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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 PC008900 PA Primary

Addresses

Primary practice location

1811 Bethlehem Pike Ste 212-213
Flourtown, PA 19031-1111

Mailing address

130 Spruce St Apt 27B
Philadelphia, PA 19106-4340
Phone (267) 625-2565

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
PC008900PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1891248738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SPRUCE ST APT 27B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064340",
            "telephone_number": "267-625-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE STE 212-213",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "267-625-2565",
            "fax_number": "215-886-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT-FEELEY",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.