Active NPI
Lisa Anne Pinder
- Mental Health Counselor
- Chiefland, FL
National Provider Identifier
1235875758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9632
- Practice address
- 8850 NW 30TH St
Chiefland, FL 32626-7363 - Phone
- (954) 235-8272
- NPI assigned
- May 8, 2022
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9632 | FL | Primary |
Addresses
Primary practice location
8850 NW 30TH St
Chiefland, FL 32626-7363
Mailing address
8850 NW 30TH St
Chiefland, FL 32626-7363
Phone (954) 235-8272
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9632 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients |
Locations
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
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": "1651968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1235875758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8850 NW 30TH ST",
"city": "CHIEFLAND",
"state": "FL",
"postal_code": "326267363",
"telephone_number": "954-235-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 NW 30TH ST",
"city": "CHIEFLAND",
"state": "FL",
"postal_code": "326267363",
"telephone_number": "954-235-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINDER",
"first_name": "LISA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-08",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "9632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chiefland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.