Lisaura D Lozada-Goode, LCPC, BC-DMT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008433 Issued in IL

Practice address

6007 N Sauganash Ave FRNT
Chicago, IL 60646-5227

Phone

(773) 682-1068

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Goode Incorporated

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1861291411
  NPD Authorized official
• Midwest Counseling and Diagnostic Center

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1245621242
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1154783975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 W AGATITE AVE",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303703",
            "telephone_number": "773-682-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 N SAUGANASH AVE FRNT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465227",
            "telephone_number": "773-682-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZADA-GOODE",
        "first_name": "LISAURA",
        "middle_name": "D",
        "credential": "LCPC, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Loyfman, O.D.
• Loyola University Chicago Wellness Center
• Loyola University Medical Center
• Alexis Nicole Loza, MS, NCC
• Julie Loza, MD
• Deana M Lozada, PA
• Mario G. Lozano-Franco, MD
• Diana Lozano
• Edward Scott Lozano, PHARMD
• Luz Lozano

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.