David Lieberson, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18026 Issued in FL

Practice address

10863 Boyette Rd
Riverview, FL 33569-8012

Phone

(813) 531-9433

NPI assigned

Feb 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Isoma Psychological Services, LLC

  dba Harbor Psychology

  • Psychologist
  • Riverview, FL
  • NPI 1821565276
  NPD

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1598221293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 E COLUMBUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053233",
            "telephone_number": "813-384-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10863 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698012",
            "telephone_number": "813-531-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERSON",
        "first_name": "DAVID",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis Kidane Lewis
• Julia Marie Lewis
• Yashieva Lewis
• Gloria Leyva Aloise
• Tanya Michelle Liberato, MD
• Gary Jo Lienhart, DO
• Life Balance and Beauty
• Lifeway Programs Inc
• Lightning Therapy LLC
• Lil Sprouts Pediatric Therapy Services LLC

• Mental Health Counselor in Riverview, FL
• Providers in Riverview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.