MS. LISA HARRIET KORNBERG LCPC LCADC NPI 1477564805

NPI Information

NPI: 1477564805
Provider Name: MS. LISA HARRIET KORNBERG, LCPC, LCADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
5901 FALLS RD
BALTIMORE, MD
ZIP 21209
Phone: (443) 869-5716
Get Directions

MS. Lisa Harriet Kornberg, LCPC, LCADC is a professional counselor in Baltimore, MD with 39 years of experience. MS. Lisa Harriet Kornberg, LCPC, LCADC NPI is 1477564805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5901 FALLS RD
BALTIMORE, MD
ZIP 21209-725
Phone: (443) 869-5716

The NPI 1477564805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCA326	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	LC0313	MARYLAND	No
3	101YP2500X	Counselor	Professional	LCO313	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016808400	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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