Banyan Institute, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH-4160 Issued in FL

Legal business name

BANYAN INSTITUTE, INC

Doing business as

Lisa C Niebling

Practice address

11388 Okeechobee Blvd
Royal Palm Beach, FL 33411-8705

Phone

(561) 798-2310

Fax

(561) 798-2477

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa C Niebling, PHD, LMHC, CSTNPI 1295853893

Title

Licensed Mental Health Counselor

Phone

(561) 798-2310

Specialties & licenses 1

Addresses

Other names 1

• Lisa C Niebling Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Cook Niebling, PHD, M.ED.

  • Mental Health Counselor
  • Royal Palm Beach, FL
  • NPI 1295853893
  Medicare reassignment NPD Authorized official
• Lisa N Warner, LMT, CNMT

  • Massage Therapist
  • Royal Palm Beach, FL
  • NPI 1174745491
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033259783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11388 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118705",
            "telephone_number": "561-798-2310",
            "fax_number": "561-798-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11388 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118705",
            "telephone_number": "561-798-2310",
            "fax_number": "561-798-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEBLING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "561-798-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC, CST"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-4160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa C Niebling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marbis Avitia, DMD
• Anette Jolene Badchkam, LCSW, MCAP
• Judith N Bailey-Chambers, ARNP
• Sasha Korie Baker, M.D.
• Monique Banton, APRN
• Jeremy Francis Barish
• Leidys Barrera Cardenas
• Giselle Barrera, LMHC
• Prudence Bastien, RN
• Inge Baumert, LMT

• Mental Health Counselor in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.