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MRS. LISA KIM CLEVELAND LPC,CAADC, NCC
NPI 1902461098
Counselor - Professional in Albany, GA

Active since May 05, 2019Opted out of Medicare · through Jan 9, 2028
1511 W 3RD AVE STE 104, ALBANY, GA 31707(229) 483-5050(229) 485-1103 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2021, Nov 18, 2020, Jan 26, 2020 and 2 more (5 updates tracked since 2019).

About Mrs. Lisa Kim Cleveland Lpc,caadc, Ncc NPPES

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

MRS. LISA KIM CLEVELAND LPC,CAADC, NCC (NPI 1902461098) is an individual professional provider in Albany, Georgia, licensed in Georgia (005668) and active in the NPI registry since May 2019. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1902461098
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LISA KIM CLEVELANDCredential: LPC,CAADC, NCC
Location Address1511 W 3RD AVE STE 104Albany, GA 31707-3658
Mailing Address1511 W 3rd Ave Ste 104Albany, GA 31707-3658 · (229) 483-5050 · Fax (229) 485-1103
Phone(229) 483-5050
Fax(229) 485-1103
Sole ProprietorYes
Enumeration DateMay 5, 2019
Last NPPES UpdateFebruary 4, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1902461098 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 · 005668
1511 W 3RD AVE STE 104, Albany, GA 31707
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Lisa Kim Cleveland Lpc,caadc, Ncc 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 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

SHARON DANCER
Counselor (Professional)
1511 W 3RD AVE STE 104
ALBANY, GA 31707
Dougherty County (229) 483-5050
INCIA, LLC
Counselor (Professional)
1511 W 3RD AVE STE 104
ALBANY, GA 31707
Dougherty County (229) 483-5050
LYNDA HAMMOND LPC
Counselor (Professional)
1511 W 3RD AVE STE 104
ALBANY, GA 31707
Dougherty County (229) 483-5050
KIM CLEVELAND THERAPY, LLC
Counselor (Professional)
1511 W 3RD AVE STE 104
ALBANY, GA 31707
Dougherty County (229) 483-5050

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 Cleveland's NPI number?

The NPI number for Lisa Cleveland is 1902461098. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Where is Lisa Cleveland located?

Lisa Cleveland practices at 1511 W 3rd Ave Ste 104, Albany, GA 31707. The listed phone number is (229) 483-5050.

What is Lisa Cleveland's specialty?

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

Is Lisa Cleveland enrolled in Medicare?

No. Lisa Cleveland has opted out of Medicare through January 9, 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 Cleveland was last updated on February 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.