MS. LISA COTTRELL L.P.C.
NPI 1720353659
Counselor - Professional in Decatur, GA

Active since March 10, 2012Opted out of Medicare · through Jan 24, 2028
601 W PONCE DE LEON AVE, DECATUR, GA 30030(404) 931-3066 Get Directions Write a Review

NPPES record last updated: March 10, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Lisa Cottrell L.p.c. NPPES

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

MS. LISA COTTRELL L.P.C. (NPI 1720353659) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC004983) and active in the NPI registry since March 2012. She has opted out of Medicare through January 24, 2028.

NPPES Registry Identity

NPI1720353659
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LISA COTTRELLCredential: L.P.C.
Location Address601 W PONCE DE LEON AVEDecatur, GA 30030-2952
Mailing AddressPo Box 465Avondale Estates, GA 30002-0465 · (404) 931-3066
Sole ProprietorYes
Enumeration DateMarch 10, 2012
NPI 1720353659 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 · LPC004983
601 W PONCE DE LEON AVE, Decatur, GA 30030

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 Cottrell L.p.c. 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 24, 2024 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2024
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

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)
601 W PONCE DE LEON AVE
DECATUR, GA 30030

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 Cottrell's NPI number?

The NPI number for Lisa Cottrell is 1720353659. It was assigned to this individual provider in the NPPES registry on March 10, 2012.

Where is Lisa Cottrell located?

Lisa Cottrell practices at 601 W Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 931-3066.

What is Lisa Cottrell's specialty?

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

Is Lisa Cottrell enrolled in Medicare?

No. Lisa Cottrell has opted out of Medicare through January 24, 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 Cottrell was last updated on March 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.