Active NPI
Lisa Paulsen, LCDC
- Addiction (Substance Use Disorder) Counselor
- Plano, TX
National Provider Identifier
1902204589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11806
- Practice address
- 2600 K Ave
Suite 102
Plano, TX 75074-5306 - Phone
- (972) 423-8727
- NPI assigned
- Dec 12, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11806 | TX | Primary |
Addresses
Primary practice location
2600 K Ave
Suite 102
Plano, TX 75074-5306
Mailing address
2600 K Ave
Suite 102
Plano, TX 75074-5306
Phone (972) 423-8727
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 |
|---|---|---|---|
| 11806 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1902204589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 K AVE",
"address_2": "SUITE 102",
"city": "PLANO",
"state": "TX",
"postal_code": "750745306",
"telephone_number": "972-423-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 K AVE",
"address_2": "SUITE 102",
"city": "PLANO",
"state": "TX",
"postal_code": "750745306",
"telephone_number": "972-423-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "LISA",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.