LISA ANNE PUCCIO (NPI# 1982833430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982833430 |
| Entity Type | Individual |
| Full Name | LISA ANNE PUCCIO |
| Credential | LMSW |
| Practice Address |
12851 Grand River Rd Brighton MI 48116-8506 |
| Practice Telephone | 8102271211 |
| Practice Fax Number | 8102205509 |
| Mailing Telephone | 8102271211 |
| Mailing Fax Number | 8102205509 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6801067092 | MI | Behavioral Health & Social Service Providers |
| Street Address |
12851 GRAND RIVER RD |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450599 | Claudette T Mcgoey | Dermatology | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2005-12-30 |
| 1295295129 | Joann Weinberg Drasnin | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2019-03-25 |
| 1689195232 | Susan Pearon | Counselor | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-07-05 |
| 1043749534 | Stephen Phillips | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-06-08 |
| 1386172930 | Shawn Casey Eaton | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-05-26 |
| 1962949560 | David Matouka | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-01-21 |
| 1922451087 | Catherine Anne Keister | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2016-07-13 |
| 1417341595 | Olivia Lewandowski | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2015-03-26 |
| 1669805941 | Eric Eason | Counselor | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2013-08-09 |
| 1184056491 | Vanessa Rose Vojinov | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
| 1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1407365638 | Pattric Davis | Counselor | 77f Warren St, Brighton, MA 02135-3601 | 2017-09-20 |
| 1780126383 | Yolanda Louise Cavicchio | Counselor | 19 Burton St Apt 2, Brighton, MA 02135-1503 | 2016-11-14 |
| 1528426749 | Gail Lee Sanchez | Counselor | 5586 S 154th Rd, Brighton, MO 65617 | 2016-02-02 |
| 1063835031 | Anne King-hudson | Counselor | 2060 Grand River Annex Ste 600, Brighton, MI 48114-5312 | 2014-01-28 |
| 1619308194 | Katie Brydon | Counselor | 7030 E 166th Pl, Brighton, CO 80602-4714 | 2013-12-09 |
| 1457782120 | Erin Theriault | Counselor | 9 Winship St, Brighton, MA 02135-3359 | 2013-12-06 |
| 1003164245 | Nicholas James Mitchell | Counselor | 10299 Grand River Rd Ste P, Brighton, MI 48116-9558 | 2012-08-20 |
| Find all providers in BRIGHTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.