Lisa Tetreault, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7062 Issued in FL

Practice address

2200 Corporate Blvd. NW
Ste. 308
Boca Raton, FL 33431

Phone

(954) 821-7127

Fax

(954) 344-5683

NPI assigned

Jun 30, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa Tetreault LMHC

  • Counselor
  • Boca Raton, FL
  • NPI 1770131435
  NPD
• Center for Psychological Wellness Inc

  • Psychologist
  • Coral Springs, FL
  • NPI 1730124314

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1710915376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11697 TIMBERS WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "954-821-7127",
            "fax_number": "954-344-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CORPORATE BLVD. NW",
            "address_2": "STE. 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "954-821-7127",
            "fax_number": "954-344-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETREAULT",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Tesher
• Test First PA
• Marlisse Robin Testa, L.M.H.C
• Tesukan Behavioral Mental Health Services Corp
• Rimma Tetelboim
• Teva Wellness Inc
• Bharath Thankavel, MD
• Thats Fitting LLC
• The Atrium 1818 Opco, LLC (The Atrium at Boca Raton)
• The Atrium of Boca Raton

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, 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 Sep 30, 2019; 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.