Anna Constance Lieber, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 11498 Issued in FL

Practice address

6780 Patania Way
Jacksonville, FL 32216-5798

Phone

(904) 805-0850

Fax

(904) 805-9925

NPI assigned

Aug 17, 2011

Last updated

Dec 17, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1891075297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HODGES BLVD APT 1518",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243050",
            "telephone_number": "801-556-1202",
            "fax_number": "904-805-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 PATANIA WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165798",
            "telephone_number": "904-805-0850",
            "fax_number": "904-805-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "ANNA",
        "middle_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Ambulance Service Inc
• Amanda Liberty, LMT
• Laura Lica
• Dee Ray Lichty, CRNA
• Clare Liddon
• Rachel Brenna Lieberman, AU.D.
• Shelley Ann Liebetrau, M.S., CF-SLP
• Thomas John Liesegang, M.D.
• Life and Longevity Homecare LLC
• Life Assistance and Management Agency

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.