LISA M AUGUSTUS MHC
NPI 1205495934
Counselor - Mental Health in Watertown, NY

Q: What is the provider's specialty?

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

Active since June 06, 2019

211 J.B. WISE PLAZA, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 18, 2020, Jun 6, 2019 (2 updates tracked since 2019).

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About Lisa M Augustus Mhc NPPES

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

LISA M AUGUSTUS MHC (NPI 1205495934) is an individual mental health provider in Watertown, New York, licensed in New York (100613-01) and active in the NPI registry since June 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205495934

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLISA M AUGUSTUSCredential: MHC

Location Address211 J.B. WISE PLAZAWatertown, NY 13601

Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 785-5637

Phone(315) 782-7445

Fax(315) 779-1184

Sole ProprietorNo

Enumeration DateJune 6, 2019

Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2020

✔ NPI 1205495934 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 NY · 100613-01

211 J.B. WISE PLAZA, Watertown, NY 13601

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Secondary Practice Locations 2

Location 11704 State StWatertown, NY 13601-3102 · Phone (315) 788-7430 · Fax (315) 785-5637

Location 2167 Polk St Ste 300Watertown, NY 13601-2770 · Phone (315) 782-7445 · Fax (315) 779-1184

Other Providers at the Same Location NPPES 17

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

DR. SCOTT F ULBERG M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)