Active NPI
Lisa Ann Wally, M.S. NCC CAC-DP LPC
- Professional Counselor
- Uniontown, PA
National Provider Identifier
1942459102
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005100
- Practice address
- 2 W Main St
Suite 319
Uniontown, PA 15401-3408 - Phone
- (724) 366-0153
- NPI assigned
- Sep 12, 2008
- Last updated
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 | PC005100 | PA | Primary |
Addresses
Primary practice location
2 W Main St
Suite 319
Uniontown, PA 15401-3408
Mailing address
PO Box 53
Uniontown, PA 15401-0053
Phone (724) 366-0153
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005100 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1942459102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154010053",
"telephone_number": "724-366-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W MAIN ST",
"address_2": "SUITE 319",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013408",
"telephone_number": "724-366-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLY",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S. NCC CAC-DP LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
- Nereah E Wakala-Nyende
- Wake Up Counseling and Wellness LLC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2019)
- Wal-Mart Stores East, LP (Vision Center 30-2019)
- Walgreen Co (Walgreens #09804)
- Walnut Hill Pharmacy LLC (Walnut Hill Pharmacy)
- Anita Walters, LCSW
- Janie Lynn Walz
- Bonita G Wardle Roche, CRNP
- Danielle Ware, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.