Lisbeth Gannon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002159 Issued in CT

Practice address

147 Durham Rd Ste 13
Madison, CT 06443-2678

Phone

(860) 575-8700

NPI assigned

Feb 2, 2012

Reactivated

Aug 21, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, Professional

  Medicare reassignment NPD
• Clear the Way Counseling LLC

  • Professional Counselor
  • Madison, CT
  • NPI 1740899491
  NPD Authorized official

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1669744991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 EVERGREEN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182406",
            "telephone_number": "860-575-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 DURHAM RD STE 13",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432678",
            "telephone_number": "860-575-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "LISBETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "deactivation_date": "2020-07-29",
        "reactivation_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn Funk, PT
• Katrina Louise Furey, M.D.
• Robert Fusco Sr.
• Lisa Marie Gagnon, APRN
• Denise Gallo, APRN
• Sarah Garcia, LMFT
• Joyce Gendler, LPC, REAT, NCC
• Nicole Marie Gentili, M.S.W.
• Gentle Dental Solutions, P.C.
• Stephanie Gilfoy, ND

• Professional Counselor in Madison, CT
• Providers in Madison, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.