Active NPI
Lisa D Bausell, LPC, CEAP
- Professional Counselor
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1471
- Practice address
- 701 Med Tech Pkwy Ste 201
Johnson City, TN 37604-2365 - Phone
- (423) 283-7302
- NPI assigned
- Nov 15, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1471 | TN | Primary |
Addresses
Primary practice location
701 Med Tech Pkwy Ste 201
Johnson City, TN 37604-2365
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
1241 Volunteer Pkwy Ste 436
Bristol, TN 37620-4635
Phone (423) 833-6419
Other practice location 2
525 N State Of Franklin Rd
Johnson City, TN 37604-8213
Phone (423) 302-3480
Other practice location 3
701 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2371
Phone (423) 283-7302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
701 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-2371
Phone (423) 302-3480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1471 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients |
Locations
701 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 283-7302
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
701 Med Tech Pkwy
Ste 201
Johnson City, TN 37604
Phone (423) 283-7302
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
Organizations & group practices 3
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.
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1932400405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MED TECH PKWY STE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042365",
"telephone_number": "423-283-7302"
}
],
"practiceLocations": [
{
"address_1": "1241 Volunteer Pkwy Ste 436",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376204635",
"country_code": "US",
"telephone_number": "423-833-6419",
"fax_number": "423-753-7656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376048213",
"country_code": "US",
"telephone_number": "423-302-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Med Tech Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042371",
"country_code": "US",
"telephone_number": "423-283-7302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUSELL",
"first_name": "LISA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LPC, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-15",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.