Healthcare Provider Details

I. General information

NPI: 1154240802
Provider Name (Legal Business Name): LISA CAROLINE RAMSEY PHD, NCC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 GAYLE DR
PICKERINGTON OH
43147-2021
US

IV. Provider business mailing address

78 GAYLE DR
PICKERINGTON OH
43147-2021
US

V. Phone/Fax

Practice location:
  • Phone: 614-966-4195
  • Fax:
Mailing address:
  • Phone: 614-966-4195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-71483
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: