Active NPI
Lisa Heyison, LICSW
- Counselor
- Westwood, MA
National Provider Identifier
1992100150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 121579
- Practice address
- 789 Clapboardtree St
Westwood, MA 02090 - Phone
- (817) 624-0017
- NPI assigned
- Oct 30, 2014
- Last updated
- Jan 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 121579 | MA | Primary |
Addresses
Primary practice location
789 Clapboardtree St
Westwood, MA 02090
Mailing address
789 Clapboardtree St
Westwood, MA 02090-1717
Phone (817) 624-0017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
789 Clapboardtree St
Westwood, MA 02090-1717
Phone (781) 762-4001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks, Inc. | Current | Accepting new patients |
Locations
789 Clapboardtree St
Westwood, MA 02090
Phone (781) 762-4001
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Westwood, MA
- NPI 1043823685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1992100150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CLAPBOARDTREE ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020901717",
"telephone_number": "817-624-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CLAPBOARDTREE ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "02090",
"telephone_number": "817-624-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYISON",
"first_name": "LISA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "121579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.