Lisa G Pemberton , MA LCPC
Counselor • Metropolis, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Pemberton has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lisa Pemberton, MA LCPC was a registered Counselor practicing in Metropolis, IL. Throughout an active medical career spanning 11 years, Lisa Pemberton provided care at the practice location at 206 W 5TH ST until profile deactivation on 2017-05-02.
Practice Location & Contact Primary Location
206 W 5th St
Mcmh
Metropolis, IL 62960
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Metropolis, IL
Practicing in Metropolis, IL (3897 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
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
Counselor
MSLCPC
Student in an Organized Health Care Education/Training Program
Counselor
Counselor
Counselor - Addiction (Substance Use Disorder)
Bachelor of Science
Counselor
Bachelor of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 02, 2017
NPI status registered as active in NPPES database
Registered at 206 W 5TH ST, MCMH, METROPOLIS, IL 62960 (Tel: 6185249368)
Registered at 206 W 5TH ST, METROPOLIS, IL 629601810 (Tel: 6185249368)
Recorded as LISA PEMBERTON, MA LCPC
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
206 W 5th St
Metropolis, IL 629601810
Phone: 6185249368
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