Lisa Pergament Runyon, LMHC4906

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMHC 4906 Issued in FL

Practice address

Mental Health Care Inc
5707 N 22ND Street
Tampa, FL 33610

Phone

(813) 272-2878

Fax

(813) 272-3766

NPI assigned

Feb 26, 2007

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 names 1

• Lisa Diane Pergament Former name

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750417200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MENTAL HEALTH CARE INC",
            "address_2": "5707 N 22ND STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-272-2878",
            "fax_number": "813-272-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MENTAL HEALTH CARE INC",
            "address_2": "5707 N 22ND STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-272-2878",
            "fax_number": "813-272-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "LISA",
        "middle_name": "PERGAMENT",
        "name_prefix": "Mrs.",
        "credential": "LMHC4906",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LMHC 4906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PERGAMENT",
            "middle_name": "DIANE",
            "credential": "LMHC4906",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nakia Rumph, LPN
• Rachel Lynn Runatz, CRNA
• Trevor Runge, MSN, APRN, PMHNP-BC
• Fuying Xu Runyan, ARNP, CNM
• Kristina Runyan
• Jessica Rupe-Haven, PT
• Amanda Catherine Rupert, CNP
• Brooke Alecia Rupert, ARNP
• Madison Joan Rupnik, PA-C
• Cory James Ruppel, D.D.S.

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.