Active NPI
Lisa Marie Harrison, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1972064418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05507
- Practice address
- 2922 N Spring Meadow CT
Wichita, KS 67205-1659 - Phone
- (316) 250-5007
- NPI assigned
- Mar 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4810 | KS | |
| Clinical Social Worker | 1041C0700X | 05507 | KS | Primary |
Addresses
Primary practice location
2922 N Spring Meadow CT
Wichita, KS 67205-1659
Mailing address
2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone (316) 250-5007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220202002447 | KS | Practitioner - Clinical Social Worker | 9032502612 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Williams Medical Group Practice, LLCMidwest Counseling Services, LLC
Practice addresses (Care Compare)
2031 W 6TH Ave
Emporia, KS 66801-6464
Phone (620) 800-1010
2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone (316) 250-5007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4810 | KS | MD | Social Worker |
| 05507 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Counseling Services, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1972064418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 N SPRING MEADOW CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051659",
"telephone_number": "316-250-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 N SPRING MEADOW CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051659",
"telephone_number": "316-250-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "4810",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.