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LISA ANTONISHEK LLPC
NPI 1083986079
Counselor in South Lyon, MI

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment
28900 PONTIAC TRL, SOUTH LYON, MI 48178(734) 929-9703 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Antonishek Llpc NPPES

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

LISA ANTONISHEK LLPC (NPI 1083986079) is an individual counselor in South Lyon, Michigan, licensed in Michigan (6401011115) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083986079
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA ANTONISHEKCredential: LLPC
Location Address28900 PONTIAC TRLSouth Lyon, MI 48178-9241
Mailing Address3830 Packard StAnn Arbor, MI 48108-2051 · (734) 929-9703
Phone(734) 929-9703
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 6, 2012
Last NPPES UpdateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1083986079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401011115
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
28900 PONTIAC TRL, South Lyon, MI 48178
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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 and accepts Medicare assignment

Lisa Antonishek Llpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941787238
PECOS Enrollment IDI20260116001593
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 4

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

DAVE CHATEL LLP
Psychologist
28900 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (248) 560-7507
MICHELLE R BURDICK
Counselor
28900 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (734) 436-1242
RENEWED HOPE COUNSELING CENTER INC
Psychologist (Counseling)
28900 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (248) 560-7507
MRS. TERESA WILSON RITTINGER LLMFT
Marriage & Family Therapist
28900 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (248) 560-7507

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 Antonishek's NPI number?

The NPI number for Lisa Antonishek is 1083986079. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Lisa Antonishek located?

Lisa Antonishek practices at 28900 Pontiac Trl, South Lyon, MI 48178. The listed phone number is (734) 929-9703.

What is Lisa Antonishek's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa Antonishek enrolled in Medicare?

Yes. Lisa Antonishek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Antonishek was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.