Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISBETH GANNON, LPC
Deactivated Sole ProprietorLISBETH GANNON, LPC is a Professional Counselor healthcare provider located in MADISON, Connecticut. NPI 1669744991 is deactivated in the NPPES registry. Verify at CMS.
Professional Counselor · MADISON, CT
This NPI has been deactivated.
The record was deactivated on July 29, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1669744991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2012 (8.4863387978142 yrs)
- Last Updated
- Jun 26, 2025
- Deactivated
- Jul 29, 2020
- License
-
002159 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 DURHAM RD STE 13MADISON, CT, 064432678Browse CT providers · Browse ZIP 06443
- Phone
- 8605758700
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in MADISON, CT
| Name | Credential | NPI |
|---|---|---|
| KERRY E. GRAHAM | LPC | 1558372334 |
| MRS. VALERIE ANNE DRAKE | MA | 1619070737 |
| MARGUERITE BOWES | MA, MAR | 1871723213 |
| MRS. MARJORIE ADLER | MS COUNSELING | 1104056506 |
| MS. ELIZABETH M STRAZAR | MA, LPC | 1114235090 |
| JOYCE CUDDY | LPC | 1821387648 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.