MRS. LISA LYNN LEADBETTER LCPC
NPI 1275886160
Counselor - Mental Health in Bangor, ME

Q: What is Lisa Leadbetter's NPI number?

The NPI number for Lisa Leadbetter is 1275886160. It was assigned to this individual provider in the NPPES registry on October 17, 2012. The provider is also known as Lisa Lynn Mccarthy Lcpc.

Q: What is Lisa Leadbetter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Leadbetter was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2012PECOS EnrolledAccepts Medicare Assignment

268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100(207) 973-6109 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2021, Jan 26, 2016 (2 updates tracked since 2016).

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About Mrs. Lisa Lynn Leadbetter Lcpc NPPES

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

MRS. LISA LYNN LEADBETTER LCPC (NPI 1275886160) is an individual mental health provider in Bangor, Maine, licensed in Maine (XL4031) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275886160

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. LISA LYNN LEADBETTERCredential: LCPC

Location Address268 STILLWATER AVEBangor, ME 04401-3945

Mailing Address268 Stillwater AveBangor, ME 04401-3945 · (207) 973-6100 · Fax (207) 973-6109

Phone(207) 973-6100

Fax(207) 973-6109

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 17, 2012

Last NPPES UpdateApril 7, 20212 updates tracked since enumeration

NPPES CertifiedApril 7, 2021

✔ NPI 1275886160 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 ME · XL4031

268 STILLWATER AVE, Bangor, ME 04401

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Other Names 1

Former Name (1)Lisa Lynn Mccarthy Lcpc

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

Mrs. Lisa Lynn Leadbetter Lcpc 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 ID2860845187

PECOS Enrollment IDI20240201004305

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 20

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

MARK KUNSTMAN LCSW

Social Worker (Clinical)

268 STILLWATER AVE, ACADIA HOSPITAL CORPORATION
BANGOR, ME 04401

Penobscot County (207) 973-6100

ALFREDA MOULAND FNP

Nurse Practitioner (Family)