Individual provider Active NPI

Lisa A Jennay, LMFT

  • Marriage & Family Therapist
  • Sarasota, FL
National Provider Identifier
1033203864
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT1576 Issued in FL
Practice address
2477 Stickney Point Rd
Suite 115-B
Sarasota, FL 34231-4076
Phone
(941) 780-1569
Fax
(941) 927-0236
NPI assigned
Oct 3, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT1576 FL Primary

Addresses

Primary practice location

2477 Stickney Point Rd
Suite 115-B
Sarasota, FL 34231-4076

Mailing address

2477 Stickney Point Rd
Suite 115-B
Sarasota, FL 34231-4076
Phone (941) 780-1569

Other identifiers 2

IdentifierTypeStateIssuer
3547007OtherFLAETNA PN
Z7820OtherFLBLUE CROSS BLUE SHIELD PN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003556 FL Practitioner - Marriage and Family Therapist 0941653323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2477 Stickney Point Rd
Suite 115B
Sarasota, FL 34231-4092
Phone (941) 780-1569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Jennay LMFT, LLC Marriage & Family Therapist CurrentSince Dec 15, 2023 Accepting new patients

Locations

2477 Stickney Point Rd
Ste 115B
Sarasota, FL 34231
Phone (941) 780-1569

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1033203864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "SUITE 115-B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-780-1569",
            "fax_number": "941-927-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "SUITE 115-B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-780-1569",
            "fax_number": "941-927-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNAY",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PN",
            "identifier": "3547007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PN",
            "identifier": "Z7820",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.