Active NPIIndividual provider

Ms. Lisa M Goldberg, LPC

Counselor, Mental Health in Westport, Connecticut

NPI Number1356064489
Practice location
489 Post RD E, Westport, CT 06880-4435
Fax
—
Last updated
September 23, 2022

Lisa Mallenbaum Goldberg is a Counselor, Mental Health based in Westport, CT. Lisa Mallenbaum Goldberg practices in Westport, CT and has the professional credentials of LPC. The NPI Number for Lisa Mallenbaum Goldberg is 1356064489 and holds a License No. 5790 (CT). The current practice location address for Lisa Mallenbaum Goldberg is 489 Post RD E, Westport, CT 06880-4435 and can be reached out via phone at 203-493-1151.

Provider Profile Details

NPI Number
1356064489
Provider Name
Lisa Mallenbaum Goldberg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
489 Post RD E, Westport, CT 06880-4435
Phone Number
203-493-1151
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2022
Last Update Date
September 23, 2022
Certification Date
September 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
489 Post RD E
Westport, CT 06880-4435
Zip
06880-4435
Phone Number
203-493-1151
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
13 Orems Ln
Wilton, CT 06897-4022
City
Wilton
State
CT
Zip
06897-4022
Phone Number
203-858-4808

License Information

License Number (1)
5790
License State (1)
CT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
5790
License State (2)
CT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Lisa M Goldberg, LPC?

The NPI number of Ms. Lisa M Goldberg, LPC is 1356064489. It was assigned on September 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa M Goldberg, LPC?

Ms. Lisa M Goldberg, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 5790.

Where does Ms. Lisa M Goldberg, LPC practice?

The practice location is 489 Post RD E, Westport, CT 06880-4435. The office can be reached at 203-493-1151 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356064489 directly on the NPPES registry website.

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