Lisa Deanne Gifford, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

166936 Issued in OH

Practice address

303 Gervais Rd
Franklin Furnace, OH 45629-8742

Phone

(740) 259-7000

Fax

(740) 259-7003

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/focusresidential/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Focus Residential Group, LLC

  • Community/Behavioral Health Agency
  • Franklin Furnace, OH
  • NPI 1225629660
  NPD (past)
• Focus Residential Group, LLC

  • Substance Abuse Rehabilitation Facility
  • Franklin Furnace, OH
  • NPI 1962801548
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1881189587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7000",
            "fax_number": "740-259-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7000",
            "fax_number": "740-259-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "LISA",
        "middle_name": "DEANNE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "166936",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "166936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Residential Group, LLC
• Whitney M Galloway
• Brayden Paul Gifford, CDCA
• Ethan James Gifford
• Kelly K Gifford, RN
• Green Local School District
• Amanda Lee Green, COTA/L
• Andrew Tyler Green
• Nancy Kay Gullett, LPN.
• Heather Renee Hall

• Addiction (Substance Use Disorder) Counselor in Franklin Furnace, OH
• Providers in Franklin Furnace, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.