GELISSA COUSLEY PMHNP-BC NPI 1760393706

NPI Information

  • NPI: 1760393706
  • Provider Name: GELISSA COUSLEY, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4000 N STATE ROAD 7 STE 409D
    LAUDERDALE LAKES, FL
    ZIP 33319
  • Phone: (954) 508-9180

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NPI Details

Gelissa Cousley, PMHNP-BC is a psychiatric/mental health nurse practitioner in Lauderdale Lakes, FL. Gelissa Cousley, PMHNP-BC NPI is 1760393706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4000 N STATE ROAD 7 STE 409D
LAUDERDALE LAKES, FL
ZIP 33319-882
Phone: (954) 508-9180

The enumeration date for this NPI number is 9/16/2026 and was last updated on 9/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthF408753-01NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11043643FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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