Active NPI
Lisa Marie Caine, M.A.
- Mental Health Counselor
- Daytona Beach, FL
National Provider Identifier
1285078626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13602
- Practice address
- 225 Fentress Blvd
Daytona Beach, FL 32114-1203 - Phone
- (800) 539-4228
- NPI assigned
- Apr 27, 2013
- Last updated
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 13602 | FL | Primary |
Addresses
Primary practice location
225 Fentress Blvd
Daytona Beach, FL 32114-1203
Mailing address
225 Fentress Blvd
Daytona Beach, FL 32114-1203
Phone (800) 539-4228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13602 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1285078626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 FENTRESS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141203",
"telephone_number": "800-539-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 FENTRESS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141203",
"telephone_number": "800-539-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAINE",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-27",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "13602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.