Individual provider Active NPI

Lakesha Terrell Lingard, LMFT

  • Marriage & Family Therapist
  • High Springs, FL
National Provider Identifier
1801563648
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3994 Issued in FL
Practice address
16690 NW 192ND Terrace
High Springs, FL 32643-0647
Phone
(352) 284-0577
NPI assigned
Aug 28, 2021
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3994 FL Primary

Addresses

Primary practice location

16690 NW 192ND Terrace
High Springs, FL 32643-0647

Mailing address

16690 NW 192ND Terrace
High Springs, FL 32643-0647
Phone (352) 284-0577

Other identifiers 5

IdentifierTypeStateIssuer
7289568917OtherFLAETNA
7289568917MedicaidFL
7289568917OtherFLAVMED
7289568917OtherFLBLUE CROSS BLUE SHIELD
7289568917OtherFLUNITED HEALTH GROUP

Other names 1

  • Ms. Lakesha Terrell Bowie Former name

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

LicenseStateTypeSpecialty
MT3994FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering 4 Purpose, LLC CurrentSince Nov 6, 2022 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1801563648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16690 NW 192ND TERRACE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430647",
            "telephone_number": "352-284-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16690 NW 192ND TERRACE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430647",
            "telephone_number": "352-284-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGARD",
        "first_name": "LAKESHA",
        "middle_name": "TERRELL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7289568917",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7289568917",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "7289568917",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7289568917",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH GROUP",
            "identifier": "7289568917",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKESHA",
            "last_name": "BOWIE",
            "middle_name": "TERRELL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.