Individual provider Active NPI

Alexus Nicole Lisath, LCDCIII

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
National Provider Identifier
1336730696
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
162667 Issued in OH
Practice address
303 Offnere St
Portsmouth, OH 45662-4655
Phone
(407) 150-0947
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 162667 OH Primary

Addresses

Primary practice location

303 Offnere St
Portsmouth, OH 45662-4655

Mailing address

303 Offnere St
Portsmouth, OH 45662-4655
Phone (740) 715-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
162667OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Residential Group, LLC PastSince Jan 1, 2021 Accepting new patients
Phoenix Group Home, LLC Multi-Specialty PastSince Aug 3, 2025 Accepting new patients
Phoenix Group Home, LLC Multi-Specialty PastSince Aug 3, 2025 Accepting new patients
Focus Residential Group, LLC PastSince Jan 31, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/focusresidential/r4/
  • Direct secure messaging: alexus.lisath.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1336730696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 OFFNERE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624655",
            "telephone_number": "740-715-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 OFFNERE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624655",
            "telephone_number": "407-150-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISATH",
        "first_name": "ALEXUS",
        "middle_name": "NICOLE",
        "credential": "LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2026-09-29",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "162667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.