LISA MARIE MACKILLOP PSYD, MA, LPC
NPI 1194367706
Counselor - Professional in Lancaster, PA

Q: What is Lisa Mackillop's NPI number?

The NPI number for Lisa Mackillop is 1194367706. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Q: What is Lisa Mackillop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Mackillop 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 7 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.

Active since October 15, 2019PECOS EnrolledAccepts Medicare Assignment

1891 SANTA BARBARA DR STE 102, LANCASTER, PA 17601(717) 936-9758(717) 618-6730 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, May 16, 2024, Jun 3, 2020 and 1 more (4 updates tracked since 2019).

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About Lisa Marie Mackillop Psyd, Ma, Lpc NPPES

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

LISA MARIE MACKILLOP PSYD, MA, LPC (NPI 1194367706) is an individual professional provider in Lancaster, Pennsylvania, licensed in Pennsylvania (PC011850) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194367706

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA MARIE MACKILLOPCredential: PSYD, MA, LPC

Location Address1891 SANTA BARBARA DR STE 102Lancaster, PA 17601-4106

Mailing Address1891 Santa Barbara Dr Ste 102Lancaster, PA 17601-4106 · (717) 850-3558

Phone(717) 936-9758

Fax(717) 618-6730

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 15, 2019

Last NPPES UpdateJanuary 7, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1194367706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC011850

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC011850 (PA)

1891 SANTA BARBARA DR STE 102, Lancaster, PA 17601

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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 Marie Mackillop Psyd, Ma, Lpc 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 ID2466894514

PECOS Enrollment IDI20240521004099

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 14

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

MS. NIKOLE EVANS BLAKE LCSW

Social Worker (Clinical)