Lisbeth Gannon, LPC
NPI 1669744991ActiveIndividual· Counselor, Professional· Madison, CT
Counselor, Professional (LPC) in Madison, Connecticut, licensed in CT, with an NPI issued in February 2012. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1669744991 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Feb 2, 2012 |
| Last updated in NPPES | Jun 26, 2025 |
| Certified by provider | Jun 26, 2025 |
| Reactivated | Aug 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 002159 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CT) |
|---|
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