Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326732066 Individual Practitioner Female Practitioner

Lisa Utterback

Peer Specialist • Deer Park, TX

Professional Overview & Biography Verified Profile Summary

Lisa Utterback is a registered healthcare professional specializing in Peer Specialist in Deer Park, TX. Practice services are available at 4525 GLENWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4525 Glenwood Ave

Deer Park, TX 775367901

Telephone 2814760088
Associated Practice Facility / Clinic
🏢 Cenikor Foundation Facility NPI 1023414984

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Deer Park, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Deer Park, TX (109 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

CMS Verified: 2023-06-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License TX 1783-0523

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Martha Solis , LPC

Counselor - Professional

NPI 1265870554

Licensed Professional Counselor

Jennifer Brown , LCDC-I

Counselor - Addiction (Substance Use Disorder)

NPI 1487460804

LCDCI

Stephanie Ingram

Counselor - Addiction (Substance Use Disorder)

NPI 1609556893
Angela Walker , LCDC-I

Counselor - Addiction (Substance Use Disorder)

NPI 1861118630

LCDCI

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2023

Registered at 4525 GLENWOOD AVE, DEER PARK, TX 775367901 (Tel: 2814760088)

📍
Updated Business Mailing Address June 06, 2023

Registered at 4525 GLENWOOD AVE, DEER PARK, TX 775367901 (Tel: 2814760088)

👤
Provider Name / Credentials Updated June 06, 2023

Recorded as LISA UTTERBACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2023

Peer Specialist (License #1783-0523 in TX)

🟢
Initial NPI Registration & Enumeration June 06, 2023

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: 1326732066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2023
Last Update: June 06, 2023
Sole Proprietor: Yes

Mailing Address

4525 Glenwood Ave

Deer Park, TX 775367901

Phone: 2814760088

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.