Lisa Sheehan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAP.0005853 Issued in FL

Practice address

12440 Mac Alister Way Unit 101
New Berlin, WI 53151-8326

Phone

(954) 477-1700

NPI assigned

Dec 13, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1356119937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 MAC ALISTER WAY UNIT 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518326",
            "telephone_number": "954-477-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 MAC ALISTER WAY UNIT 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518326",
            "telephone_number": "954-477-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP.0005853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole N Sciaccotta, APNP
• Anthony Ronald Scott Seidl
• Joseph Charles Serflek, DDS
• Keerthi Shabadu, DDS
• Margaret Louise Shane, OT
• Cynthia Louise Shicotte, MA, CCC/SLP
• Maryam Shittu, MD
• Ali H Siddiqui, MD
• Tahmeena Siddiqui I, PHARMD
• Elizabeth A. Silver, M.D.

• Addiction (Substance Use Disorder) Counselor in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.