Misty Lissett Furbush, LMFT

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

59256 Issued in CA

Practice address

602 Commerce Ave Ste E
Palmdale, CA 93551-3882

Phone

(661) 752-5580

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

Yes

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

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1487967451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BOYDEN AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341740",
            "telephone_number": "661-752-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 COMMERCE AVE STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513882",
            "telephone_number": "661-752-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Haskell Ave",
            "address_2": "202",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914065101",
            "country_code": "US",
            "telephone_number": "818-627-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURBUSH",
        "first_name": "MISTY",
        "middle_name": "LISSETT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "59256",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT87990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donetta Fricke
• Friends and Family LLC
• Yanelys Fuentes Baez, BCBA
• Andrew Fuentes
• Yasmine F Funes, NP
• Alison Gagnon, DPT
• Grace Karen Gaines
• Alden Gajo, M D
• Abigail Galindo
• David Luciano Gallegos

• All providers in Palmdale, CA
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.