Lori Sue Lightman, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC - 2282 Issued in AZ

Practice address

880 N Colorado St
Gilbert, AZ 85233-3419

Phone

(480) 820-0825

Fax

(480) 820-7863

NPI assigned

Jun 18, 2006

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family and Childrens ServiceGroup PAC ID 9234028671, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1023174455
  Medicare reassignment Care Compare group NPD
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1467520577
  NPD
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609939214
  NPD
• Codac Behavioral Health Services of Pima County, Inc.

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
  • NPI 1356374953
  NPD (past)
• Codac Health Recovery and Wellness

  dba CODAC at Speedway

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1649911157
  NPD (past)
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1881680254
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1063457745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143654",
            "telephone_number": "602-279-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N COLORADO ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333419",
            "telephone_number": "480-820-0825",
            "fax_number": "480-820-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTMAN",
        "first_name": "LORI",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC - 2282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751116",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifetime Chiropractic LLC
• Lifetime Family Dental
• Lighthall Family Dentistry of Gilbert PLC
• Lighthouse Psychiatry LLC
• Lighthouse Wellhealth Inc (Wellhealth Clinic)
• Anna O Likhacheva, MD
• Lilac Healthcare LLC (Lilac Ob-Gyn)
• Marisa Liles
• Veronica Gail Liles
• Brian A Lilien, DDS

• Addiction (Substance Use Disorder) Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.