LISA BUMPUS – Mental Health Counselor, NPI 1407542517

LISA BUMPUS is a healthcare provider. based in Salem, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for LISA BUMPUS is 1407542517

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LISA BUMPUS
NPI
1407542517
Phone
Not provided
Address
110 BOSTON ST
Enumeration Date
12 April 2023
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815925691
Graduation Year
2023 (3 years ago)
PAC ID
4981196581
Group Practice PAC ID
3274430590
Professional Enrollment ID
I20251121000742
Address ID
MA019101125LY112XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for LISA BUMPUS

  • 110 BOSTON ST

    SALEM, MA 019701402

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251121000742IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01970)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274430590View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What NPI should I save for LISA BUMPUS?
Save NPI 1407542517 if you need a stable reference for LISA BUMPUS.
Is LISA BUMPUS's NPI currently valid?
The extract we use shows LISA BUMPUS as active.
Can you summarize LISA BUMPUS's specialty in plain language?
Clinically, the directory lists LISA BUMPUS with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place LISA BUMPUS?
The snapshot lists Salem, Massachusetts for LISA BUMPUS; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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