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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
Phone(260) 570-4515
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
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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.

MARYELLEN WEIGAND LMFT
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
JENNIFER SNIDER MA, LMHC
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
MICHELLE RENEE HIVELY
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
KYLEE P HAYS LSW
Social Worker
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
RDR DEVINE, LLC
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
RENEE DEVINE
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
HEATHER MARIE JONES-WATLEY
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4515
PAIGE L THOMPSON LMHC
Counselor (Mental Health)
6157 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 570-4513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Firestine's NPI number?

The NPI number for Lisa Firestine is 1013738749. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Lisa Firestine located?

Lisa Firestine practices at 6157 Stoney Creek Dr, Fort Wayne, IN 46825. The listed phone number is (260) 570-4515.

What is Lisa Firestine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lisa Firestine enrolled in Medicare?

Yes. Lisa Firestine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Firestine was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.