LYDIA CARISSA PONGO LLPC
NPI 1942786868
Counselor - Professional in Saint Joseph, MI

Active since July 13, 2018
830 PLEASANT ST, SAINT JOSEPH, MI 49085(269) 982-3832 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lydia Carissa Pongo Llpc NPPES

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

LYDIA CARISSA PONGO LLPC (NPI 1942786868) is an individual professional provider in Saint Joseph, Michigan, licensed in Michigan (6401016718) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1942786868
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLYDIA CARISSA PONGOCredential: LLPC
Location Address830 PLEASANT STSaint Joseph, MI 49085-1102
Mailing Address4384 Laurel DrSaint Joseph, MI 49085-9311 · (269) 982-3832
Sole ProprietorNo
Enumeration DateJuly 13, 2018
NPI 1942786868 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 MI · 6401016718
830 PLEASANT ST, Saint Joseph, MI 49085

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.

Counselor (Professional)
830 PLEASANT ST, SUITE 202
SAINT JOSEPH, MI 49085
Psychologist
830 PLEASANT ST
SAINT JOSEPH, MI 49085
Home Health
830 PLEASANT ST, SUITE 316
SAINT JOSEPH, MI 49085
Marriage & Family Therapist
830 PLEASANT ST
SAINT JOSEPH, MI 49085

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 Lydia Pongo's NPI number?

The NPI number for Lydia Pongo is 1942786868. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Lydia Pongo located?

Lydia Pongo practices at 830 Pleasant St, Saint Joseph, MI 49085. The listed phone number is (269) 982-3832.

What is Lydia Pongo'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 Lydia Pongo was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.