Stephanie Bert, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-155253 Issued in AZ

Practice address

4249 W Ina Rd Ste 105
Tucson, AZ 85741-2254

Phone

(520) 261-0818

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Truenorth Counseling, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
  • NPI 1235818170

  Addiction (Substance Use Disorder), AZ

  Medicare reassignment NPD Authorized official
• Hope Restoration Ministries

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1609448844
  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1457097131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 W FIRETHORN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414044",
            "telephone_number": "520-261-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 W INA RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412254",
            "telephone_number": "520-261-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4237 W Ina Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412249",
            "country_code": "US",
            "telephone_number": "520-579-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERT",
        "first_name": "STEPHANIE",
        "credential": "LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-06-25",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-155253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Berry
• Jennifer Dawn Berry, DDS
• Kenneth Earl Berry, PHARM. D., RPH
• Pamela Clare Berry, R.PH.
• Virginia Berry, LCSW
• Mark A Bertematti, MD
• Rasa Bertinelli, N.P.
• Michelle Lynn Bertolino-Thomas, PA - C
• Frank M Bertone, PHARMD
• Sarah Beth Bertone, PHARMD

• All providers in Tucson, AZ
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.