Lisa Christine Salacina, LPC

Key facts

NPI

1285793992

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

LPC-10571 (AZ)

Practice address

924 N Country Club Dr
Mesa, AZ 85201-4108

Phone

(480) 969-3800

Fax

(480) 834-7003

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Community Partners Integrated Healthcare, Inc. Multi-Specialty Clinic/Center · Tucson, AZ · NPI 1669897385
  Medicare reassignment NPD AZ
• Community Partners Integrated Healthcare Inc. Multi-Specialty Clinic/Center · Tucson, AZ · NPI 1558020503
  NPD
• Community Partners Integrated Healthcare, Inc. Multi-Specialty Clinic/Center · Phoenix, AZ · NPI 1346620358
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.salacina.p1@direct.cpi.nextgenshare.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285793992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014108",
            "telephone_number": "480-969-3800",
            "fax_number": "480-834-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALACINA",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "201115",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "770447",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Mesa, AZ · Professional Counselor in Arizona