D'Lisa Hardeman
Counselor, Professional in Mansfield, TX. Individual provider (NPI-1).
NPI number1982142584
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1982142584
- Entity type
- Individual (NPI-1)
- Name
- D'Lisa Hardeman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2017
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 73254 | TX | Yes |
Practice location
601 Strada Cir Ste 109Mansfield, TX 76063-3212
Phone 817-213-6889 · Fax 817-478-6525
Mailing address
Po Box 278Mansfield, TX 76063-0278
Phone 817-213-6889
Other practice locations
1810 8th Ave
Fort Worth, TX 76110-1352
Fort Worth, TX 76110-1352
Phone 817-213-6889
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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