LISA COSTELLO (NPI# 1669030698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669030698 |
| Entity Type | Individual |
| Full Name | LISA COSTELLO |
| Credential | BA, MS |
| Practice Address |
826 Delaware Ave Fountain Hill PA 18015-1174 |
| Practice Telephone | 6104193101 |
| Mailing Telephone | 6104193101 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1174085435 | Lisa Costello | Nurse Practitioner | 1445 Whitehorse Mercerville Rd Ste 108, Hamilton, NJ 08619-3834 | 2019-04-04 |
| 1295022531 | Lisa Humphrey Costello | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2011-07-07 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| 1174773964 | Lisa J Costello | Physical Therapist | 11110 Medical Campus Rd, 201, Hagerstown, MD 21742-6700 | 2008-09-29 |
| Street Address |
826 DELAWARE AVE |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427097955 | Medical Associates of The Lehigh Valley PC | Internal Medicine | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2006-06-06 |
| 1871107094 | Josephine Cabrera | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2020-09-04 |
| 1306478920 | Damaris Morales | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2020-02-11 |
| 1871131896 | Kaitlyn Marie Stahl | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-12-20 |
| 1992340467 | Lina M Vega Pulgarin | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-11-08 |
| 1760026280 | Alana Mager | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-29 |
| 1700429875 | Rhiannon Emily Anderson | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-22 |
| 1295378396 | Amy Henriksen | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-21 |
| 1760033062 | Michael Kastelnik | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-09-27 |
| 1205486412 | Patricia Anastasia Rappaport | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1053742544 | Jeremy Todd Campbell | Counselor | 826 Deleware Ave, Fountain Hill, PA 18015 | 2013-12-09 |
| 1871107094 | Josephine Cabrera | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2020-09-04 |
| 1306478920 | Damaris Morales | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2020-02-11 |
| 1871131896 | Kaitlyn Marie Stahl | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-12-20 |
| 1992340467 | Lina M Vega Pulgarin | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-11-08 |
| 1760026280 | Alana Mager | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-29 |
| 1700429875 | Rhiannon Emily Anderson | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-22 |
| 1295378396 | Amy Henriksen | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-21 |
| 1760033062 | Michael Kastelnik | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-09-27 |
| Find all providers in FOUNTAIN HILL | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
Please comment or provide details below to improve the information on LISA COSTELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.