Lisa M Davis Peck, LMHC, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001382A Issued in IN

Practice address

24 S Lynhurst Dr
Indianapolis, IN 46241-1230

Phone

(317) 919-8482

Fax

(317) 203-0983

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Lisa Davis Peck

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
  • NPI 1134572308
  NPD (past) Authorized official

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1912346271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 GREENDALE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462411068",
            "telephone_number": "317-919-8482",
            "fax_number": "317-203-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S LYNHURST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462411230",
            "telephone_number": "317-919-8482",
            "fax_number": "317-203-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS PECK",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001460A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001382A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001131A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daviess County Hospital
• Daviess County Hospital
• Julian E. Davila, D.M.D., M.S.
• Davis and Davis Dietary LLC
• Davis Mintun Professional Services Inc
• Sequanda Nicole Davis-Bond
• Cheryl Davis-Land, ANP
• Robin C Davis-Reed, LCSW
• Adam Lee Davis, D.C.
• Aisha N Davis, MD

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.