LISA NICOLE SELLS LPC
NPI 1164752135
Counselor - Professional in Manassas, VA

Active since January 13, 2010Opted out of Medicare · through Jan 30, 2028
7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-7800(703) 792-5699 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Nicole Sells Lpc NPPES

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

LISA NICOLE SELLS LPC (NPI 1164752135) is an individual professional provider in Manassas, Virginia, licensed in Virginia (0701004746) and active in the NPI registry since January 2010. She has opted out of Medicare through January 30, 2028.

NPPES Registry Identity

NPI1164752135
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA NICOLE SELLSCredential: LPC
Location Address7969 ASHTON AVEManassas, VA 20109-2885
Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-7800 · Fax (703) 792-5699
Fax(703) 792-5699
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
NPI 1164752135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701004746
7969 ASHTON AVE, Manassas, VA 20109

Other Names 1

Former Name (1)Lisa Nicole Petersen

Other Identifiers 2

Medicaid004945247VA
Medicare PINC02810

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lisa Nicole Sells Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2024 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2024
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
7969 ASHTON AVE
MANASSAS, VA 20109
Marriage & Family Therapist
7969 ASHTON AVE
MANASSAS, VA 20109
Social Worker (Clinical)
7969 ASHTON AVE
MANASSAS, VA 20109
Counselor (Professional)
7969 ASHTON AVE
MANASSAS, VA 20109
Social Worker (Clinical)
7969 ASHTON AVE
MANASSAS, VA 20109
Clinic/Center (Mental Health (Including Community Mental Health Center))
7969 ASHTON AVE
MANASSAS, VA 20109
Social Worker (Clinical)
7969 ASHTON AVE
MANASSAS, VA 20109
General Practice
7969 ASHTON AVE
MANASSAS, VA 20109

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 Sells's NPI number?

The NPI number for Lisa Sells is 1164752135. It was assigned to this individual provider in the NPPES registry on January 13, 2010. The provider is also known as Lisa Nicole Petersen.

Where is Lisa Sells located?

Lisa Sells practices at 7969 Ashton Ave, Manassas, VA 20109. The listed phone number is (703) 792-7800.

What is Lisa Sells's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Sells enrolled in Medicare?

No. Lisa Sells has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Sells was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.