Active NPI
Robert W. Luigs, LISAC-10352
- Addiction (Substance Use Disorder) Counselor
- Bisbee, AZ
National Provider Identifier
1467753673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-10352
- Practice address
- 229A Tombstone Canyon
Bisbee, AZ 85603 - Phone
- (928) 925-1557
- NPI assigned
- Nov 4, 2010
- Last updated
- May 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10352 | AZ | Primary |
Addresses
Primary practice location
229A Tombstone Canyon
Bisbee, AZ 85603
Mailing address
PO Box 804
229A Tombstone Canyon Rd.
Bisbee, AZ 85603
Phone (928) 925-1557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567648 | Other | AZ | AHCCCS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10352 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1467753673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"address_2": "229A TOMBSTONE CANYON RD.",
"city": "BISBEE",
"state": "AZ",
"postal_code": "85603",
"telephone_number": "928-925-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229A TOMBSTONE CANYON",
"city": "BISBEE",
"state": "AZ",
"postal_code": "85603",
"telephone_number": "928-925-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUIGS",
"first_name": "ROBERT",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "LISAC-10352",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-04",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "567648",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bisbee, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.