Active NPI
Lillie Cortes, MC, LPC, CSAT
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1184232001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-18002
- Practice address
- 14300 N Northsight Blvd Ste 101
Scottsdale, AZ 85260-3673 - Phone
- (602) 550-0175
- Fax
- (480) 590-8942
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-18002 | AZ | Primary |
Addresses
Primary practice location
14300 N Northsight Blvd Ste 101
Scottsdale, AZ 85260-3673
Mailing address
14300 N Northsight Blvd Ste 109
Scottsdale, AZ 85260-3673
Phone (602) 550-0175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-18002 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Healing Center LLC | Mental Health | Current | Accepting new patients |
Locations
14300 N Northsight Blvd
Ste 109
Scottsdale, AZ 85260
Phone (217) 778-6442
14300 N Northsight Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 390-2610
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": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1184232001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 N NORTHSIGHT BLVD STE 109",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603673",
"telephone_number": "602-550-0175",
"fax_number": "480-590-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 N NORTHSIGHT BLVD STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603673",
"telephone_number": "602-550-0175",
"fax_number": "480-590-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "LILLIE",
"credential": "MC, LPC, CSAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-18002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.