Organization Active NPI

Lisa a Jennay LMFT, LLC

  • Marriage & Family Therapist
  • Sarasota, FL
National Provider Identifier
1366069916
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LISA A JENNAY LMFT, LLC
Practice address
2477 Stickney Point Rd Ste 115B
Sarasota, FL 34231-4092
Phone
(941) 780-1569
Fax
(941) 922-7515
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Lisa A Jennay, LMFTNPI 1033203864
Title
LMFT
Phone
(941) 780-1569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2477 Stickney Point Rd Ste 115B
Sarasota, FL 34231-4092

Mailing address

2477 Stickney Point Rd Ste 115B
Sarasota, FL 34231-4092
Phone (941) 780-1569

Other names 1

  • Lisa A Jennay LMFT, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240201002349 FL Part B Supplier - Clinic/Group Practice 8123471505 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1366069916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD STE 115B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314092",
            "telephone_number": "941-780-1569",
            "fax_number": "941-922-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD STE 115B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314092",
            "telephone_number": "941-780-1569",
            "fax_number": "941-922-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A JENNAY LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "JENNAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "941-780-1569",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa A Jennay LMFT, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.