LISA MICHELLE FIRESTINE LMHC
NPI 1013738749
Counselor - Mental Health in Fort Wayne, IN

Active since October 24, 2024PECOS Enrolled
6157 STONEY CREEK DR, FORT WAYNE, IN 46825(260) 570-4515 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Michelle Firestine Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MICHELLE FIRESTINE LMHC (NPI 1013738749) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39002689A) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1013738749
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MICHELLE FIRESTINECredential: LMHC
Location Address6157 STONEY CREEK DRFort Wayne, IN 46825-4409
Mailing Address3715 Indiana AveFort Wayne, IN 46807-2213 · (260) 849-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1013738749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 39002689A
6157 STONEY CREEK DR, Fort Wayne, IN 46825

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Michelle Firestine Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830667518
PECOS Enrollment IDI20260512000472
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Social Worker
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013738749, enumerated as an "individual" on October 24, 2024.

The provider is located at 6157 STONEY CREEK DR FORT WAYNE, IN 46825 and the phone number is (260) 570-4515.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.