Lisa P. Coulter I, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS007939L Issued in PA

Practice address

1011 Brookside Rd Ste 122
Allentown, PA 18106-9020

Phone

(610) 569-0252

Fax

(484) 460-2470

NPI assigned

Jul 14, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West End Counseling and Wellness, LLCGroup PAC ID 2365794500, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• West End Counseling & Wellness, LLC

  • Clinical Psychologist
  • Allentown, PA
  • NPI 1528547387

  Counseling

  Medicare reassignment Care Compare group NPD Authorized official
• John Mitchell MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allentown, PA
  • NPI 1871683573
  NPD (past)

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1992281786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 BRIGHTON CT",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180783505",
            "telephone_number": "484-515-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BROOKSIDE RD STE 122",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069020",
            "telephone_number": "610-569-0252",
            "fax_number": "484-460-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 N Cedar Crest Blvd Ste 502",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181042355",
            "country_code": "US",
            "telephone_number": "610-351-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COULTER",
        "first_name": "LISA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS007939L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036060860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly L Costello, MD
• Chloe Corrine Costigan-Humes, DPT
• Amy Beth Cotter, ATC
• Rachel M Couch
• Anne Marie Coughlin, DO
• Council on Alcohol and Drug Abuse
• Counseling Solutions LV, LLC
• County of Lehigh Pennsylvania
• County of Lehigh Pennsylvania
• Christina Marie Cousins, BA

• Counseling Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.