Lisa Goss, LLPC
Counselor, Professional in Southgate, MI. Individual provider (NPI-1).
NPI number1023559986
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1023559986
- Entity type
- Individual (NPI-1)
- Name
- Lisa Goss
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2017
- Certification date
- Nov 4, 2021
- Last updated
- Nov 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401014567 | MI | Yes |
Practice location
13101 Allen RdSouthgate, MI 48195-2216
Phone 734-785-7700
Mailing address
30343 Berghway TrlWarren, MI 48092-6331
Phone 313-283-5116
Other practice locations
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Southgate, MI 48195-2507
Phone 734-324-8326
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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