Lisbeth Gannon , LPC
Counselor - Professional • Madison, CT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisbeth Gannon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lisbeth Gannon, LPC was a registered Counselor - Professional practicing in Madison, CT. Throughout an active medical career spanning 8 years, Lisbeth Gannon provided care at the practice location at 147 DURHAM RD STE 13 until profile deactivation on 2020-07-29.
Practice Location & Contact Primary Location
147 Durham Rd Ste 13
Madison, CT 064432678
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Madison, CT
Practicing in Madison, CT (2870 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-06-26NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 147 DURHAM RD STE 13, MADISON, CT 064432678 (Tel: 8605758700)
Registered at 446 EVERGREEN AVE, HAMDEN, CT 065182406 (Tel: 8605758700)
Recorded as LISBETH GANNON, LPC
Registered at 229 BACON POND RD APT 154, WOODBURY, CT 067983692 (Tel: 8605758700)
Registered at 229 BACON POND RD APT 154, WOODBURY, CT 067983692 (Tel: 8605758700)
Recorded as LISBETH GANNON, M.A.
Counselor (License #002159 in CT)
Record deactivated on July 29, 2020
NPI status registered as active in NPPES database
Registered at 331 WETHERSFIELD AVE, HARTFORD, CT 061141420 (Tel: 8602364511)
Registered at 331 WETHERSFIELD AVE, HARTFORD, CT 061141420 (Tel: 8602364511)
Recorded as LISBETH GANNON, M.A.
Counselor (License #002159 in CT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
446 Evergreen Ave
Hamden, CT 065182406
Phone: 8605758700
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