Lisa Tetreault LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LISA TETREAULT LMHC

Practice address

2200 NW Corporate Blvd Ste 308
Boca Raton, FL 33431-7307

Phone

(954) 821-7127

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Tetreualt, LMHC

Title

Owner

Phone

(954) 821-7127

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Tetreault, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1710915376
  NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1770131435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD STE 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317307",
            "telephone_number": "954-821-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD STE 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317307",
            "telephone_number": "954-821-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA TETREAULT LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "TETREUALT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-821-7127",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.themindfultherapysolution.com",
            "affiliation": "N",
            "address_1": "2200 NW Corporate Blvd Ste 308",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334317307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roberta J. Lipsitz, OTR/L
• Debra Marla Lipson, MSW
• Lisa Farah Levine
• Lisa Kay Mao MD PA (Lisa Kay Mao MD)
• Lisa M. Sandler, Psy.D, P.a.
• Michael Steven Liss, DMD
• Ryan William Liss, PT, DPT, CSCS
• Tamara Liss
• Little Cubs ABA LLC
• Little Pierre ABA Therapy LLC

• Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.