Healthcare Provider Details

I. General information

NPI: 1669921219
Provider Name (Legal Business Name): LISA SUN HOFFMAN LPC, MA, LAC, MAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2016
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 BRIARGATE BLVD
COLORADO SPRINGS CO
80920-4168
US

IV. Provider business mailing address

6547 N ACADEMY BLVD # 1166
COLORADO SPRINGS CO
80918-8342
US

V. Phone/Fax

Practice location:
  • Phone: 516-243-7803
  • Fax:
Mailing address:
  • Phone: 646-484-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17053-131
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701013626
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00385600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10421-125
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001616
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0718000666
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37PC00983800
License Number StateNJ
# 8
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0012518
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: