Individual provider Active NPI

Gelissa Cousley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1760393706
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11043643 Issued in FL
Practice address
4000 N State Road 7 Ste 409D
Lauderdale Lakes, FL 33319-4882
Phone
(954) 508-9180
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F408753-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11043643 FL Primary

Addresses

Primary practice location

4000 N State Road 7 Ste 409D
Lauderdale Lakes, FL 33319-4882

Mailing address

4000 N State Road 7 Ste 409D
Lauderdale Lakes, FL 33319-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1760393706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7 STE 409D",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7 STE 409D",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194882",
            "telephone_number": "954-508-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSLEY",
        "first_name": "GELISSA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F408753-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11043643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.