Individual provider Active NPI

Jan Lamoreaux, MC, LPC, LISAC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1093985012
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20265 Issued in AZ
Practice address
3303 E Baseline Rd, Ste 109, BLDG 5
Gilbert, AZ 85234
Phone
(480) 534-6476
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 LISAC-1372 AZ
Professional Counselor 101YP2500X LPC-20265 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd, Ste 109, BLDG 5
Gilbert, AZ 85234

Mailing address

3303 E Baseline Rd
Ste 109, BLDG 5
Gilbert, AZ 85234
Phone (480) 534-6476

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
I20240626002991 AZ Practitioner - Mental Health Counselor 6406390806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-1372AZMDAddiction (Substance Use Disorder) Counselor
LPC-20265AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinal Hispanic Council Incorporated CurrentSince May 14, 2024 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Arizona Counseling & Treatment Services, L.L.C. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Intuitive Healing Counseling Services, PLLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

330 N Picacho St
Casa Grande, AZ 85122
Phone (520) 876-5833

556 S Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-7405

Interoperability endpoints

  • Direct secure messaging: jan.lamoreaux.p1@direct.cpi.nextgenshare.com

Organizations & group practices 8

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1093985012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD",
            "address_2": "STE 109, BLDG 5",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-534-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD, STE 109, BLDG 5",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-534-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOREAUX",
        "first_name": "JAN",
        "credential": "MC, LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-1372",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.