Active NPI
Michele Liscio, LMFT, CFLE
- Marriage & Family Therapist
- Davie, FL
National Provider Identifier
1710101357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 2157
- Practice address
- 3301 College Ave
Brief Therapy Institute
Davie, FL 33314-7721 - Phone
- (954) 849-3277
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 2157 | FL | Primary |
Addresses
Primary practice location
3301 College Ave
Brief Therapy Institute
Davie, FL 33314-7721
Mailing address
3301 College Ave
Brief Therapy Institute
Davie, FL 33314-7721
Phone (954) 849-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT 2157 | Other | FL | LICENSED MFT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 2157 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1710101357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE",
"address_2": "BRIEF THERAPY INSTITUTE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147721",
"telephone_number": "954-849-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE",
"address_2": "BRIEF THERAPY INSTITUTE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147721",
"telephone_number": "954-849-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISCIO",
"first_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "LMFT, CFLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 2157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MFT",
"identifier": "MT 2157",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.