Individual provider Active NPI

Lisa Robyn Rix

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1376012278
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93607 Issued in CA
Practice address
123 F St Ste F
Eureka, CA 95501-1048
Phone
(707) 572-5495
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 93607 CA Primary

Addresses

Primary practice location

123 F St Ste F
Eureka, CA 95501-1048

Mailing address

123 F St Ste F
Eureka, CA 95501-1048
Phone (707) 572-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221001948 CA Practitioner - Clinical Social Worker 7719399427 Reassigns benefits to 1 organization
Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Counseling ConnectionGroup PAC ID 5193160950, 5 clinicians

Practice addresses (Care Compare)

123 F St
Suite F
Eureka, CA 95501-1048
Phone (707) 390-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Counseling Connection Clinical CurrentSince Mar 20, 2025 Accepting new patients
Humboldt Counseling Connection Single Specialty CurrentSince Apr 20, 2024 Accepting new patients
Changing Tides Family Services Past Accepting new patients

Locations

123 F St
Ste F
Eureka, CA 95501
Phone (707) 268-8007

310 F St
Eureka, CA 95501
Phone (707) 390-0393

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eef7bdb7-cd7b-4ec1-b846-cf9ec1db80c8/

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1376012278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 F ST STE F",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011048",
            "telephone_number": "707-572-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 F ST STE F",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011048",
            "telephone_number": "707-572-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIX",
        "first_name": "LISA",
        "middle_name": "ROBYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.