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

Mrs. Lisa Marie Longo, MAED/WSC

Individual provider Counselor · NPI 1902813819

Mrs. Lisa Marie Longo, MAED/WSC is a Mental Health Counselor in Lehigh Acres, Florida. Qualified in 1992, 34 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

814 Desoto Ave
Lehigh Acres, FL 33936-8113
Phone: (239) 303-2900
Fax: (239) 303-2909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence MH22297 (FL)

Record details

NPI number1902813819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAED/WSC
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lehigh Acres