Active NPI
Lisa Marie Lynn, LMHC
- Mental Health Counselor
- Ocala, FL
National Provider Identifier
1912401068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12252
- Practice address
- 3425 SW 74TH Ave Ste C2
Ocala, FL 34474-7214 - Phone
- (352) 454-8950
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH12252 | FL | |
| Mental Health Counselor | 101YM0800X | MH12252 | FL | Primary |
Addresses
Primary practice location
3425 SW 74TH Ave Ste C2
Ocala, FL 34474-7214
Mailing address
9 Needles Dr
Ocala, FL 34482-3506
Phone (352) 454-8950
Other practice location 1
9 Needles Dr
Ocala, FL 34482-3506
Phone (352) 454-8950
Other names 1
- Mrs. Lisa Marie Jacques-Quintana
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 |
|---|---|---|---|
| MH12252 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dove Wellness and Counseling LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Ocala, FL
- NPI 1821673930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1912401068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 NEEDLES DR",
"city": "OCALA",
"state": "FL",
"postal_code": "344823506",
"telephone_number": "352-454-8950",
"fax_number": "352-873-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 SW 74TH AVE STE C2",
"city": "OCALA",
"state": "FL",
"postal_code": "344747214",
"telephone_number": "352-454-8950"
}
],
"practiceLocations": [
{
"address_1": "9 Needles Dr",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344823506",
"country_code": "US",
"telephone_number": "352-454-8950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNN",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH12252",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "JACQUES-QUINTANA",
"middle_name": "MARIE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.