Individual provider Active NPI

Lisa Oddo Barras

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1003339631
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-16719 Issued in AZ
Practice address
1600 W Chandler Blvd Ste 220
Chandler, AZ 85224-6162
Phone
(602) 753-7057
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC15071 AZ
Professional Counselor 101YP2500X LPC-16719 AZ Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 220
Chandler, AZ 85224-6162

Mailing address

1600 W Chandler Blvd Ste 220
Chandler, AZ 85224-6162
Phone (602) 753-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004457 AZ Practitioner - Mental Health Counselor 1456703784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC15071AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Bridges, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Arizona Trauma Counseling and Therapy, LLC Current Accepting new patients

Locations

1405 N Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 213-6502

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

Interoperability endpoints

  • Direct secure messaging: lisa.barrasbhp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1003339631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 220",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246162",
            "telephone_number": "602-753-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 220",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246162",
            "telephone_number": "602-753-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAS",
        "first_name": "LISA",
        "middle_name": "ODDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC15071",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.