Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa M Poulos

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1174561740

Lisa M Poulos is a Nurse Practitioner in Greensboro, North Carolina. Graduated from University of Maryland School of Medicine in 2004, 22 years ago. Practices with Triad Psychiatric and Counseling Center PA, a 23-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Trained at
University of Maryland School of Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone: (336) 632-3505
Fax: (336) 665-6188
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 950023 (NC)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 950023 (NC)
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X · Licence 950023 (NC)

Record details

NPI number1174561740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESNovember 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Triad Psychiatric And Counseling Center Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greensboro