Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629558390 Individual Practitioner Female Practitioner

Lisa Modlin , LPC GEORGIA

Counselor • Thomson, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Lisa Modlin, LPC GEORGIA is a registered healthcare professional specializing in Counselor in Thomson, GA. Official NPI practice address is registered at 114 E HALL ST.

Practice Location & Contact Primary Location

Practice Address

114 E Hall St

Thomson, GA 308242726

Telephone 7062952548

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Thomson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Thomson, GA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License GA LPC010407

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Nisha Wilson , LPC

Counselor - Professional

NPI 1063737955

Licensed Professional Counselor

Wanda Sanders , LPC

Counselor - Mental Health

NPI 1497162374

Licensed Professional Counselor

Gloria Moses , LPC

Counselor - Mental Health

NPI 1790955383

Licensed Professional Counselor

Rosalind Scott , LPC

Counselor - Professional

NPI 1801310750

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2018

Registered at 114 E HALL ST, THOMSON, GA 308242726 (Tel: 7062952548)

📍
Updated Business Mailing Address August 21, 2018

Registered at 114 E HALL ST, THOMSON, GA 308242726 (Tel: 7065952548)

👤
Provider Name / Credentials Updated August 21, 2018

Recorded as LISA MODLIN, LPC GEORGIA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2018

Counselor (License #LPC010407 in GA)

🟢
Initial NPI Registration & Enumeration August 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629558390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2018
Last Update: August 21, 2018
Sole Proprietor: No

Mailing Address

114 E Hall St

Thomson, GA 308242726

Phone: 7065952548

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.