Individual provider Active NPI

Lemonica Watson

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1467114785
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10000 N 31St Ave Ste B109
Phoenix, AZ 85051-9586
Phone
(678) 512-9085
NPI assigned
Oct 13, 2021
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

10000 N 31St Ave Ste B109
Phoenix, AZ 85051-9586

Mailing address

10000 N 31St Ave Ste B109
Phoenix, AZ 85051-9586
Phone (678) 512-9085

Other identifiers 1

IdentifierTypeStateIssuer
0000000OtherNONE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ltnllc12@gmail.com Other
Other URL ltnllc12@gmail.com Other

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

Practice roles

OrganizationSpecialtyStatusNew patients
Love Thee Neighbor LLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

10000 N 31st Ave
Ste B109
Phoenix, AZ 85051
Phone (480) 597-7321

Organizations & group practices 1

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1467114785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE B109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519586",
            "telephone_number": "678-512-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE B109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519586",
            "telephone_number": "678-512-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LEMONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ltnllc12@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "company email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "10000 N 31st Ave Ste B109",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850519586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ltnllc12@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "company email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "10000 N 31st Ave Ste B109",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850519586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.