1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Counselor
  6. NPI Profile

LISA SOJOURNER
NPI 1013546480
Counselor - Mental Health in Orlando, FL

Active since April 07, 2020Opted out of Medicare · through Jun 20, 2027
2300 OHIO DR, ORLANDO, FL 32803(407) 256-8337 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Sojourner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SOJOURNER (NPI 1013546480) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH12669) and active in the NPI registry since April 2020. She has opted out of Medicare through June 20, 2027.

NPPES Registry Identity

NPI1013546480
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA SOJOURNER
Location Address2300 OHIO DROrlando, FL 32803-2028
Mailing Address2300 Ohio DrOrlando, FL 32803-2028 · (407) 256-8337
Phone(407) 256-8337
Sole ProprietorYes
Enumeration DateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1013546480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH12669
2300 OHIO DR, Orlando, FL 32803
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Sojourner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2025 through June 20, 2027.

Opt-Out Effective DateJune 20, 2025
Opt-Out In Effect ThroughJune 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Sojourner's NPI number?

The NPI number for Lisa Sojourner is 1013546480. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Lisa Sojourner located?

Lisa Sojourner practices at 2300 Ohio Dr, Orlando, FL 32803. The listed phone number is (407) 256-8337.

What is Lisa Sojourner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lisa Sojourner enrolled in Medicare?

No. Lisa Sojourner has opted out of Medicare through June 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Sojourner was last updated on April 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.