Individual provider Active NPI

Lisa Indira Guerra, LMHC

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1316988967
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7696 Issued in FL
Practice address
1380 SW 144TH CT
Ocala, FL 34481-3852
Phone
(352) 489-2726
Fax
(352) 489-2726
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7696 FL Primary

Addresses

Primary practice location

1380 SW 144TH CT
Ocala, FL 34481-3852

Mailing address

1380 SW 144TH CT
Ocala, FL 34481-3852
Phone (352) 489-2726

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

State licenses

LicenseStateTypeSpecialty
MH7696FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom and Thrive Counseling and Coaching Inc. Current Accepting new patients

Locations

2609 SW 33rd St
Ste 102
Ocala, FL 34471
Phone (305) 596-0137

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316988967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 SW 144TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344813852",
            "telephone_number": "352-489-2726",
            "fax_number": "352-489-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 SW 144TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344813852",
            "telephone_number": "352-489-2726",
            "fax_number": "352-489-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "LISA",
        "middle_name": "INDIRA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.