MS. LISA G POORE MS, LPC
NPI 1497046486
Counselor - Professional in Suwanee, GA

Active since April 25, 2011Opted out of Medicare · through Jan 1, 2028
3905 JOHNS CREEK CT, SUITE 260, SUWANEE, GA 30024(770) 753-0350(770) 497-9536 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa G Poore Ms, Lpc NPPES

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

MS. LISA G POORE MS, LPC (NPI 1497046486) is an individual professional provider in Suwanee, Georgia, licensed in Georgia (LPC001741) and active in the NPI registry since April 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1497046486
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LISA G POORECredential: MS, LPC
Location Address3905 JOHNS CREEK CT, SUITE 260Suwanee, GA 30024-1224
Mailing Address3905 Johns Creek Ct, Suite 260Suwanee, GA 30024-1224 · (770) 753-0350 · Fax (770) 497-9536
Fax(770) 497-9536
Sole ProprietorNo
Enumeration DateApril 25, 2011
NPI 1497046486 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 GA · LPC001741
3905 JOHNS CREEK CT, Suwanee, GA 30024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Lisa G Poore Ms, 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Specialist
3905 JOHNS CREEK CT
SUWANEE, GA 30024
Physical Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, STE. 250
SUWANEE, GA 30024

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 Poore's NPI number?

The NPI number for Lisa Poore is 1497046486. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Lisa Poore located?

Lisa Poore practices at 3905 Johns Creek Ct Suite 260, Suwanee, GA 30024. The listed phone number is (770) 753-0350.

What is Lisa Poore's specialty?

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

Is Lisa Poore enrolled in Medicare?

No. Lisa Poore has opted out of Medicare through January 1, 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 Poore was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.