Individual provider Active NPI

Lisa Ann Gorman Ufer, PHD LMFT

  • Marriage & Family Therapist
  • Ann Arbor, MI
National Provider Identifier
1508168519
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006453 Issued in MI
Practice address
214 S Main St Ste 206
Ann Arbor, MI 48104-2122
Phone
(734) 224-3822
Fax
(888) 881-8415
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006453 MI Primary

Addresses

Primary practice location

214 S Main St Ste 206
Ann Arbor, MI 48104-2122

Mailing address

214 S Main St Ste 206
Ann Arbor, MI 48104-2122
Phone (734) 224-3822

Other names 1

  • Lisa Ann Gorman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4101006453MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Hiber Emotional Health, LLC PastSince Jan 29, 2023 Accepting new patients

Organizations & group practices 1

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1508168519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST STE 206",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042122",
            "telephone_number": "734-224-3822",
            "fax_number": "888-881-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST STE 206",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042122",
            "telephone_number": "734-224-3822",
            "fax_number": "888-881-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UFER",
        "first_name": "LISA",
        "middle_name": "ANN GORMAN",
        "credential": "PHD LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GORMAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.