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Active NPI 1902813819 Individual Practitioner Female Practitioner

Lisa Marie Longo , MAED, WSC

Counselor • Lehigh Acres, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lisa Longo, MAED, WSC is a certified Counselor practicing in Lehigh Acres, FL. With approximately 34 years of clinical experience since completing medical education in 1992, Lisa Longo delivers high-quality medical care to the local community at 814 DESOTO AVE.

Lisa Longo maintains professional affiliations with Mental Health Specialty Group Pa, Sondermind Provider Network Llc, Sondermind Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

814 Desoto Ave

Lehigh Acres, FL 339368113

Telephone 2393032900
Fax 2393032909

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lehigh Acres, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +12.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Lehigh Acres, FL (3441 Statewide)

Telehealth Adoption Rate
40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Longo (34 Years) 34 Yrs
Lehigh Acres Specialty Average (21.5 Years) 21.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-24
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL MH22297

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
682566496 (FL)

Hospital & Practice Group Affiliations

Sondermind Pa

None, Portland, OR 97223

Phone: 8666300966

Mental Health Specialty Group Pa

None, Lake Worth, FL 33461

Phone: 3232057088

Mental Health Specialty Group Pa

None, Terrebonne, OR 97760

Phone: 3232057088

Sondermind Provider Network Llc

333 Se 2nd Ave, Miami, FL 331312185

Phone: 8666300966

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address June 24, 2026

Registered at 814 DESOTO AVE, LEHIGH ACRES, FL 339728113 (Tel: 2393032900)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 814 DESOTO AVE, LEHIGH ACRES, FL 339368113 (Tel: 2393032900)

📍
Updated Business Mailing Address July 09, 2007

Registered at 814 DESOTO AVE, LEHIGH ACRES, FL 339368113 (Tel: 2393032900)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as LISA LONGO, MAED/WSC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902813819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: June 24, 2026
Sole Proprietor: Yes

Mailing Address

814 Desoto Ave

Lehigh Acres, FL 339728113

Phone: 2393032900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.