Individual provider Active NPI

Lillie Cortes, MC, LPC, CSAT

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1184232001
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-18002 Issued in AZ
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

Updated by the provider on Dec 14, 2023

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 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
LPC-18002AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Healing Center LLC Mental Health CurrentSince Jul 1, 2020 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

Verify at the official NPI Registry.