MISS LISA MONDELL (PSY D) – Counselor, NPI 1205243201

MISS LISA MONDELL (PSY D) is a healthcare provider. based in Indiana, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY D. The NPI Number for MISS LISA MONDELL (PSY D) is 1205243201

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MISS LISA MONDELL (PSY D)
NPI
1205243201
Phone
(724) 465-5576
Address
793 OLD RTE 119 HIGHWAY NORTH
Enumeration Date
22 July 2014
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703212619
Graduation Year
2016 (10 years ago)
PAC ID
4688052863
Group Practice PAC ID
2264336460
Professional Enrollment ID
I20220531000746
Address ID
PA177013100WI700XXSTXX300

Contacts

Secure Messaging
lisa.a.mondell@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:11State licenses:0Other namesUpdated within 12 months

1,669 CLINICAL PSYCHOLOGIST in PA

Provider Addresses for MISS LISA MONDELL (PSY D)

  • 793 OLD RTE 119 HIGHWAY NORTH

    INDIANA, PA 15701

    Phone: (724) 465-5576

    Fax: (724) 465-6379

    Type: Mailing

  • 1201 GRAMPIAN BLVD

    WILLIAMSPORT, PA 177011900

    Phone: (888) 647-9600

    Type: Mailing

  • 700 HIGH ST

    WILLIAMSPORT, PA 177013100

    Phone: (570) 321-2619

    Type: Location

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: 2022-05-31

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
I20220531000746IClinical PsychologistPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96121Exam of neurobehavioral status, each additional hour5843$0
96116Exam of neurobehavioral status, first hour5656$0
90791Psychiatric diagnostic evaluation3636$0
View full utilization report →

Insurance plans in this area (ZIP 15701)

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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: 2264336460View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)PA
-PA
Certified Registered Nurse Anesthetist (Crna)PA
-ME
Pulmonary Disease, Critical Care (Intensivists)PA
-PA
Vascular SurgeryNY
Cardiovascular Disease (Cardiology)NM
Certified Registered Nurse Anesthetist (Crna)PA
Emergency MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify MISS LISA MONDELL (PSY D) for billing?
Administrative and clinical systems typically use NPI 1205243201 for MISS LISA MONDELL (PSY D).
Is MISS LISA MONDELL (PSY D)'s NPI status active today?
Active status means MISS LISA MONDELL (PSY D)'s NPI record is not deactivated in the public file.
What does the directory say MISS LISA MONDELL (PSY D) does?
Insurance directories may phrase it differently, but here MISS LISA MONDELL (PSY D) maps to Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MISS LISA MONDELL (PSY D)?
MISS LISA MONDELL (PSY D) is associated with Indiana, Pennsylvania in the same public data insurers reference.
Why is information missing for MISS LISA MONDELL (PSY D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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