Lisa Button, SUDCC 8711

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8711 Issued in CA

Practice address

29833 Santa Margarita Pkwy Ste 400
Rancho Santa Margarita, CA 92688-3619

Phone

(949) 283-1260

NPI assigned

Oct 9, 2018

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

Other names 1

• Lisa Porter Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Clean Path Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1578067625
  NPD (past)
• The Teen Project, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1588207583
  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1346715091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29833 SANTA MARGARITA PKWY STE 400",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29833 SANTA MARGARITA PKWY STE 400",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883619",
            "telephone_number": "949-283-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTON",
        "first_name": "LISA",
        "credential": "SUDCC 8711",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "8711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "address_1": "2201 Kilson Dr",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927072954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PORTER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey Edward Bulger, PA
• Anthony John Bullum, O.D.
• Lile Bunar, D.D.S.
• Juris Bunkis, M.D.,F.A.C.S.
• Butterfly Therapies, Inc.
• Alex Cabrera, DPT
• California Chiropractic Center Dr. Paul Thomas D.C. Corportation
• California Virtual Iop
• Calkierren Billing Services, Inc
• Calmed Medical Technologies, Inc

• Addiction (Substance Use Disorder) Counselor in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.