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LISA MARIE DITTMAN MA, NCC, LPC
NPI 1215563184
Counselor - Mental Health in Brick, NJ

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Dittman Ma, Ncc, Lpc NPPES

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

LISA MARIE DITTMAN MA, NCC, LPC (NPI 1215563184) is an individual mental health provider in Brick, New Jersey, licensed in New Jersey (37PC00045500) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1215563184
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MARIE DITTMANCredential: MA, NCC, LPC
Location Address3 CREEK RDBrick, NJ 08724-3305
Mailing Address3 Creek RdBrick, NJ 08724-3305 · (732) 840-1516 · Fax (732) 840-1516
Phone(732) 840-1516
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 22, 2020
NPPES CertifiedMarch 22, 2020
✔ NPI 1215563184 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 NJ · 37PC00045500
3 CREEK RD, Brick, NJ 08724
Open in Google Maps ↗

Other Identifiers 1

Other37PC00045500NJ · Non Medicare

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 Dittman Ma, Ncc, 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 ID4789108598
PECOS Enrollment IDI20250414000774
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.

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 Dittman's NPI number?

The NPI number for Lisa Dittman is 1215563184. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Lisa Dittman located?

Lisa Dittman practices at 3 Creek Rd, Brick, NJ 08724. The listed phone number is (732) 840-1516.

What is Lisa Dittman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lisa Dittman enrolled in Medicare?

Yes. Lisa Dittman 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 Dittman was last updated on March 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.