Lisa Dollene Morgan, CSAC-S, BS, QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0709025747 Issued in VA

Practice address

2623 Park Ave
Petersburg, VA 23805-2420

Phone

(804) 471-4711

NPI assigned

Mar 25, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1942149257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 PARK AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052420",
            "telephone_number": "804-471-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 PARK AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052420",
            "telephone_number": "804-471-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9609 Route 1",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232374621",
            "country_code": "US",
            "telephone_number": "804-275-1116",
            "fax_number": "804-275-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "LISA",
        "middle_name": "DOLLENE",
        "credential": "CSAC-S, BS, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "0709025747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motsumi Moja, MD
• Mark Edward Moore, O.D.
• Mooving You Along Transportation Service, LLC
• Diana Morales
• David C Morgan
• Melanie Morgan, LDO
• Xaveria Morgan, CNA
• Lindsay Ann Morris, FNP
• Michelle Moss
• Melissa O. Motley Moore, LPC

• Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.