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LISA MICHELLE BRANHAM LMHC
NPI 1619002409
Counselor - Mental Health in Jacksonville, FL

Active since February 22, 2007
9995 GATE PKWY N STE 100, JACKSONVILLE, FL 32246(833) 769-3524 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Michelle Branham Lmhc NPPES

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

LISA MICHELLE BRANHAM LMHC (NPI 1619002409) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH10872) and active in the NPI registry since February 2007. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1619002409
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MICHELLE BRANHAMCredential: LMHC
Location Address9995 GATE PKWY N STE 100Jacksonville, FL 32246-0800
Mailing Address9995 Gate Pkwy N Ste 100Jacksonville, FL 32246-0800 · (833) 769-3524
Phone(833) 769-3524
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1619002409 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 · MH10872
9995 GATE PKWY N STE 100, Jacksonville, FL 32246
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Secondary Practice Location 1

Location 16316 San Juan AveJacksonville, FL 32210-2831 · Phone (904) 783-2579 ext. 30

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE BOSARGE LCSW
Social Worker (Clinical)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (833) 769-3524
WILLIAM HUTSON PRIOLEAU LMHC
Counselor (Mental Health)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (877) 653-5907
ASHLEY ANNE NEIDIGH LMHC
Counselor (Mental Health)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (833) 769-3524
HAZEL DEAN FRASIER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (833) 769-3524
ALVIN PENIX JR. LCSW, MSW, CBHCM
Social Worker (Clinical)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (877) 653-5907
MARYANN MACAPAGAL DEL CID APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (877) 653-5907
BIANCA DOLL LMHC
Counselor (Mental Health)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (877) 653-5907
LARRY RAYMOND PIERSON LPC, LMHC
Counselor (Mental Health)
9995 GATE PKWY N STE 100
JACKSONVILLE, FL 32246
Duval County (833) 769-3524

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 Branham's NPI number?

The NPI number for Lisa Branham is 1619002409. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Lisa Branham located?

Lisa Branham practices at 9995 Gate Pkwy N Ste 100, Jacksonville, FL 32246. The listed phone number is (833) 769-3524.

What is Lisa Branham's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Branham was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.