Individual provider Active NPI

Lisa Marie Colyer

  • Counselor
  • Gainesville, FL
National Provider Identifier
1427375385
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
101Y00000X Issued in FL
Practice address
4140 NW 27TH LN Ste F
Gainesville, FL 32606-6600
Phone
(386) 717-6134
Fax
(352) 554-4929
NPI assigned
Apr 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH11619 FL
Professional Counselor 101YP2500X MH11619 FL
Counselor 101Y00000X 101Y00000X FL Primary

Addresses

Primary practice location

4140 NW 27TH LN Ste F
Gainesville, FL 32606-6600

Mailing address

PO Box 244
Bell, FL 32619-0244
Phone (386) 717-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 2, 2026 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101Y00000XFLMDCounselor
MH11619FLMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling Services, LLC Professional CurrentSince Jan 21, 2024 Accepting new patients
Susan Joa Dba Reflections PastSince Jan 21, 2024 Accepting new patients

Locations

4140 NW 27th Ln
Ste F
Gainesville, FL 32606
Phone (352) 449-4024

Organizations & group practices 2

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1427375385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "BELL",
            "state": "FL",
            "postal_code": "326190244",
            "telephone_number": "386-717-6134",
            "fax_number": "352-554-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 NW 27TH LN STE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066600",
            "telephone_number": "386-717-6134",
            "fax_number": "352-554-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH11619",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH11619",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.