Brett Lieberman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2766 Issued in FL

Practice address

1562 SE Village Green Dr Ste 5&7
Port Saint Lucie, FL 34952-5100

Phone

(772) 465-4044

NPI assigned

Aug 31, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, ME, NC3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  NC

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL, Marriage & Family Therapist, ME

  Medicare reassignment NPD
• Windsong Wellness, LLC

  • Marriage & Family Therapist
  • Port Saint Lucie, FL
  • NPI 1184245144
  NPD Authorized official

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1427364280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SW YAMADA DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536758",
            "telephone_number": "772-708-8173",
            "fax_number": "772-785-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 SE VILLAGE GREEN DR STE 5&7",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525100",
            "telephone_number": "772-465-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 SW Yamada Dr",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349536758",
            "country_code": "US",
            "telephone_number": "772-708-8173",
            "fax_number": "772-785-8921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "BRETT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun E Leydon
• Dalia Leyva Perez, FNP, APRN
• Vicki Li, DPT
• Frank Liantonio III
• Liberty Medical, LLC
• Life Long Learning Center 2
• Lifeforce Pediatric Therapy
• Lifelong Health LLC
• Pauline Lilley-Harvey
• Linda Delo DO PA

• Marriage & Family Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.