Individual provider Active NPI

Elizabeth Bissett, M.ED./ED.S., LMHC

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1619487477
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15051 Issued in FL
Practice address
5454 Lena Rd Unit 106
Bradenton, FL 34211-9499
Phone
(941) 896-7609
Fax
(941) 201-4856
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15051 FL Primary

Addresses

Primary practice location

5454 Lena Rd Unit 106
Bradenton, FL 34211-9499

Mailing address

5454 Lena Rd Unit 106
Bradenton, FL 34211-9499
Phone (941) 896-7609

Other names 1

  • Lisa Bissett Other 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
Master of Education

State licenses

LicenseStateTypeSpecialty
MH15051FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nearshore Chiropractic & Wellness PastSince Nov 15, 2024 Accepting new patients
Private Psychiatry of South West Florida. Inc PastSince Mar 28, 2017 Accepting new patients

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1619487477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 LENA RD UNIT 106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119499",
            "telephone_number": "941-896-7609",
            "fax_number": "941-201-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LENA RD UNIT 106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119499",
            "telephone_number": "941-896-7609",
            "fax_number": "941-201-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSETT",
        "first_name": "ELIZABETH",
        "credential": "M.ED./ED.S., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BISSETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.