Lisa H Page, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10467 Issued in FL

Practice address

3292 County Road 220
Middleburg, FL 32068-4357

Phone

(904) 278-5644

Fax

(904) 278-5659

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1609129576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 KINGSLEY AVE",
            "address_2": "SUITE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734463",
            "telephone_number": "904-278-5644",
            "fax_number": "904-278-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 COUNTY ROAD 220",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684357",
            "telephone_number": "904-278-5644",
            "fax_number": "904-278-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "LISA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH10467",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanelle Oliver, RN
• Optimal Holistic Medicine
• Optimal Homecare Services LLC
• Orange Park Medical Center, Inc.
• Nelson Paez Carrillo, DMD
• Keri Lynn Parker, RBT
• Stephanie Parks, ARNP
• Rukma Parthvi, MD
• Kathryn Pasos, M.S., CCC-SLP
• Lauren Nicole Pastizzo, PHARMD

• Mental Health Counselor in Middleburg, FL
• Providers in Middleburg, 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 Oct 17, 2012; 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.