Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Jeanne Maddox

Individual provider Mental Health Counselor · NPI 1013632116

Lisa Jeanne Maddox is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Thriveworks Clinical - Florida Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

4243 Sunbeam Rd Ste 1
Jacksonville, FL 32257-8975
Phone: (855) 284-7483
Fax: (617) 807-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence MH22914 (FL)
Mental Health Counselor Taxonomy 101YM0800X (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH22914 (FL)

Record details

NPI number1013632116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thriveworks Clinical - Florida Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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