LISA DOUGLAS
NPI 1588280085
Counselor - Professional in Summerville, PA

Active since June 19, 2020
2060 DUCK RD, SUMMERVILLE, PA 15864(814) 715-5851 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Douglas NPPES

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

LISA DOUGLAS (NPI 1588280085) is an individual professional provider in Summerville, Pennsylvania, licensed in Pennsylvania (PC012450) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1588280085
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA DOUGLAS
Location Address2060 DUCK RDSummerville, PA 15864-6022
Mailing Address2060 Duck RdSummerville, PA 15864-6022 · (814) 715-5851
Sole ProprietorYes
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
NPI 1588280085 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 PA · PC012450
2060 DUCK RD, Summerville, PA 15864

Other Providers at the Same Location NPPES

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

Counselor (Professional)
2060 DUCK RD
SUMMERVILLE, PA 15864

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 Douglas's NPI number?

The NPI number for Lisa Douglas is 1588280085. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Lisa Douglas located?

Lisa Douglas practices at 2060 Duck Rd, Summerville, PA 15864. The listed phone number is (814) 715-5851.

What is Lisa Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Douglas was last updated on June 19, 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.