Active NPI
Lisette Harry
- Case Manager/Care Coordinator
- Palm City, FL
National Provider Identifier
1891391009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1765 SW Captains PL
Palm City, FL 34990-1747 - Phone
- (772) 266-8727
- Fax
- (772) 494-7093
- NPI assigned
- Dec 11, 2020
- Last updated
- Sep 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | WV | Primary | |
| Behavior Technician | 106S00000X | RBT-26-536538 | WV |
Addresses
Primary practice location
1765 SW Captains PL
Palm City, FL 34990-1747
Mailing address
59 Short Branch Dr
Ranson, WV 25438-4618
Phone (304) 707-1468
Other practice location 1
89 Hovatter Dr
Inwood, WV 25428-1294
Phone (681) 246-5339
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-26-536538 | WV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplyaba, LLC | Behavior Analyst | Current | Accepting new patients |
| My Favorite Therapists, LLC | Behavior Analyst | 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.
-
- Behavior Analyst
- Deerfield Beach, FL
- NPI 1992153217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1891391009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SHORT BRANCH DR",
"city": "RANSON",
"state": "WV",
"postal_code": "254384618",
"telephone_number": "304-707-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 SW CAPTAINS PL",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349901747",
"telephone_number": "772-266-8727",
"fax_number": "772-494-7093"
}
],
"practiceLocations": [
{
"address_1": "89 Hovatter Dr",
"address_purpose": "LOCATION",
"city": "Inwood",
"state": "WV",
"postal_code": "254281294",
"country_code": "US",
"telephone_number": "681-246-5339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRY",
"first_name": "LISETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2026-09-27",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WV",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WV",
"license": "RBT-26-536538",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.