Individual provider Active NPI

Deborah Yancer, LISAC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1093887432
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LISAC1546 Issued in AZ
Practice address
3306 W Catalina Dr
Phoenix, AZ 85017-5291
Phone
(602) 353-0703
Fax
(605) 353-0715
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LISAC1546 AZ Primary

Addresses

Primary practice location

3306 W Catalina Dr
Phoenix, AZ 85017-5291

Mailing address

2017 N 7TH St
Phoenix, AZ 85006-2102
Phone (602) 452-4684

Other identifiers 1

IdentifierTypeStateIssuer
LISAC1546OtherAZTHERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC1546AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service Past Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 3

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093887432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062102",
            "telephone_number": "602-452-4684",
            "fax_number": "602-358-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W CATALINA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175291",
            "telephone_number": "602-353-0703",
            "fax_number": "605-353-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCER",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LISAC1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "LISAC1546",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.