LISA MICHELLE FIRESTINE LMHC - NPI 1013738749

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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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.