Individual provider Active NPI

Lizet C Lizardo, M.A., LPC

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1124661483
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77659 Issued in TX
Practice address
9434 Viscount Blvd Ste 234
El Paso, TX 79925-7053
Phone
(915) 799-0747
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77659 TX
Mental Health Counselor 101YM0800X 77659 TX Primary

Addresses

Primary practice location

9434 Viscount Blvd Ste 234
El Paso, TX 79925-7053

Mailing address

10835 Elkhart Dr
El Paso, TX 79935-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250321003284 TX Practitioner - Mental Health Counselor 4688196355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Associated Behavioral and Trauma Specialties, LLCGroup PAC ID 8820530330, 5 clinicians

Practice addresses (Care Compare)

9440 Viscount Blvd
Suite 200
El Paso, TX 79925-7054
Phone (915) 799-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
77659TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Behavioral and Trauma Specialties, LLC Mental Health CurrentSince Mar 19, 2025 Accepting new patients

Locations

9434 Viscount Blvd
Ste 234
El Paso, TX 79925
Phone (915) 274-8053

9440 Viscount Blvd
Ste 200
El Paso, TX 79925
Phone (915) 637-7627

Organizations & group practices 1

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1124661483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 ELKHART DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 VISCOUNT BLVD STE 234",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257053",
            "telephone_number": "915-799-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO",
        "first_name": "LIZET",
        "middle_name": "C",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77659",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.