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LISBETH GANNON LPC
NPI 1669744991
Counselor - Professional in Woodbury, CT

Active since February 02, 2012PECOS Enrolled
229 BACON POND RD APT 154, WOODBURY, CT 06798(860) 575-8700 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Aug 24, 2021, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

About Lisbeth Gannon Lpc NPPES

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

LISBETH GANNON LPC (NPI 1669744991) is an individual professional provider in Woodbury, Connecticut, licensed in Connecticut (002159) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669744991
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISBETH GANNONCredential: LPC
Location Address229 BACON POND RD APT 154Woodbury, CT 06798-3692
Mailing Address229 Bacon Pond Rd Apt 154Woodbury, CT 06798-3692 · (860) 575-8700
Phone(860) 575-8700
Sole ProprietorNo
Enumeration DateFebruary 2, 2012
Last NPPES UpdateAugust 24, 20214 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1669744991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 002159
229 BACON POND RD APT 154, Woodbury, CT 06798
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisbeth Gannon Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Lisbeth Gannon's NPI number?

The NPI number for Lisbeth Gannon is 1669744991. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Where is Lisbeth Gannon located?

Lisbeth Gannon practices at 229 Bacon Pond Rd Apt 154, Woodbury, CT 06798. The listed phone number is (860) 575-8700.

What is Lisbeth Gannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisbeth Gannon enrolled in Medicare?

Yes. Lisbeth Gannon is registered in the Medicare PECOS enrollment system.

What insurance does Lisbeth Gannon accept?

Health plans from Providence Health Plan list Lisbeth Gannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisbeth Gannon was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.