LISA GOSS (LLPC) – Professional Counselor, NPI 1023559986

Professional Counselor

LISA GOSS (LLPC) is a healthcare provider. based in Detroit, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LLPC. They hold a License No. 6401014567 (MI). The NPI Number for LISA GOSS (LLPC) is 1023559986

Main info

Female

Sole Proprietor

12 Years Of Experience

Accepts Medicare Assignment

Name

LISA GOSS (LLPC)

NPI

1023559986

Phone

(313) 855-6460

Address

20214 SORRENTO ST

Enumeration Date

12 March 2017

Last Update Date

4 November 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7347857700

Graduation Year

2014 (12 years ago)

PAC ID

4284117474

Group Practice PAC ID

8022171735

Professional Enrollment ID

I20260316003488

Address ID

MI481952216SO13101RDXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:9State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for LISA GOSS (LLPC)

20214 SORRENTO ST
DETROIT, MI 482351129
Phone: (313) 855-6460
Type: Mailing
30343 BERGHWAY TRL
WARREN, MI 480926331
Phone: (313) 283-5116
Type: Mailing
13101 ALLEN RD
SOUTHGATE, MI 481952216
Phone: (734) 785-7700
Type: Location
14799 Dix Toledo Rd
Southgate, MI 481952507
Phone: (734) 324-8326
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48235)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8022171735View full group profile

Name	Specialty	State
JOAN MARIE PLACIDO (LMSW)	Clinical Social Worker	MI
DR. ANJALI J MEHTA (M.D.)	P S Y C H I A T R Y	MI
DR. NALINI AGARWAL (M.D.)	P S Y C H I A T R Y	MI
MRS. JACQUELINE ANNE KABA (LMSW)	Clinical Social Worker	MI
MS. TAMYRA BROOKS (MSW, ACSW)	Clinical Social Worker	MI
EMILY MALINOWSKI	-	MI
MS. CYNTHIA A PRUETT (LMSW)	Clinical Social Worker	MI
BRENDA MARIE HEISSENBUETTEL	Mental Health Counselor	MI
MRS. MASSIEL PROCTOR (LBSW)	Clinical Social Worker	MI
MADISON MARIE LAUDER	Clinical Social Worker	MI