LISA BETH GUSSIN (NPI# 1649538281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649538281 |
| Entity Type | Individual |
| Full Name | LISA BETH GUSSIN |
| Other Name | LISA BETH MAIER |
| Credential | LMHC |
| Practice Address |
2562 Commerce Parkway North Port FL 34289 |
| Practice Telephone | 9415648734 |
| Practice Fax Number | 9418763452 |
| Mailing Telephone | 9415648734 |
| Mailing Fax Number | 9418763452 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2014-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12167 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH9367 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2562 COMMERCE PARKWAY |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
| 1790090538 | Flagel Pediatric & Family Medicine P A | Clinic/Center | 2572 Commerce Parkway, North Port, FL 34289 | 2010-08-17 |
| 1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
| 1659477727 | Mark C Burne | Dentist | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2006-09-16 |
| 1710119177 | North Port Oral Surgery Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2009-08-19 |
| 1184885014 | Maytal Adlersberg | Physical Therapy Assistant | 2334 Rosewood Ln, North Port, FL 34289-1404 | 2008-06-23 |
| 1578698346 | Daniela Sodre | Speech-Language Pathologist | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2007-02-22 |
| 1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
| 1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1992328819 | Jennifer Charles | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| Find all providers in zip 34289 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
| 1932576733 | Erika Miley | Counselor | 1121 W Price Blvd # 107, North Port, FL 34288-1814 | 2015-08-27 |
| 1467831594 | Therapeutic Hope | Counselor | 3750 Oceanside St, North Port, FL 34286-1981 | 2015-05-21 |
| 1437585098 | Michael Anthony Petrosky | Counselor | 3189 Tropicaire Blvd, North Port, FL 34286-7119 | 2013-09-16 |
| 1255604476 | Lisa Aileen Bareiss-jayhan | Counselor | 1509 Turrell St, North Port, FL 34286-6186 | 2012-02-18 |
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1225330228 | Yolanda A Cadet | Counselor | 7808 Tarabilla Ave, North Port, FL 34291-2051 | 2010-11-23 |
| 1144556580 | Karen Mattson Stull | Counselor | 6929 Outreach Way, North Port, FL 34287-3493 | 2009-10-20 |
| 1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
| 1437184561 | Lindsay Rae Jacobs | Counselor | 12497 Tamiami Trail, Ste. 4, North Port, FL 34287 | 2006-07-11 |
| Find all providers in NORTH PORT | ||||
| City | NORTH PORT |
| Zip Code | 34289 |
Please comment or provide details below to improve the information on LISA BETH GUSSIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.