Lisa Marie Pelletier-Branco, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1025607 Issued in MA

Practice address

30 Man Mar Dr
Suite 13
Plainville, MA 02762-2249

Phone

(508) 695-3885

Fax

(508) 695-3889

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie Branco Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Debra L Jarousky, LMHC,LLC

  • Mental Health Counselor
  • Plainville, MA
  • NPI 1013187251
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1336187541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAN MAR DR",
            "address_2": "SUITE 13",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622249",
            "telephone_number": "508-207-8625",
            "fax_number": "508-695-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAN MAR DR",
            "address_2": "SUITE 13",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622249",
            "telephone_number": "508-695-3885",
            "fax_number": "508-695-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER-BRANCO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1025607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BRANCO",
            "middle_name": "MARIE",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patient Focused Primary Care, P.C.
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• Jose D Pereira, DMD OWNER
• Caroline Mary Perriello, O.D.
• Marina Pettengill, DDS
• Bruce A. Phillips, M.D.

• Mental Health Counselor in Plainville, MA
• Providers in Plainville, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.