Individual provider Active NPI

Lisa Sojourner

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1013546480
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12669 Issued in FL
Practice address
2300 Ohio Dr
Orlando, FL 32803-2028
Phone
(407) 256-8337
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH12669 FL Primary

Addresses

Primary practice location

2300 Ohio Dr
Orlando, FL 32803-2028

Mailing address

2300 Ohio Dr
Orlando, FL 32803-2028
Phone (407) 256-8337

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.theranest.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 20, 2025 through Jun 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH12669FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sojourner Counseling LLC CurrentSince Apr 3, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1013546480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OHIO DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032028",
            "telephone_number": "407-256-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OHIO DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032028",
            "telephone_number": "407-256-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJOURNER",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theranest.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant practice software",
            "address_1": "2300 Ohio Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328032028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.