Individual provider Active NPI

Lisa Maznio, LPC, CCM, QMHP, BCC

  • Professional Counselor
  • Los Angeles, CA
National Provider Identifier
1497152995
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401002419 Issued in MI
Practice address
1400 N Martel Ave Apt 202
Los Angeles, CA 90046
Phone
(248) 495-1159
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401002419 MI Primary

Addresses

Primary practice location

1400 N Martel Ave Apt 202
Los Angeles, CA 90046

Mailing address

1400 N Martel Ave Apt 202
Los Angeles, CA 90046-4276
Phone (248) 495-1159

Other practice location 1

929 Stevens St
Flint, MI 48502-1620
Phone (810) 232-6081

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

LicenseStateTypeSpecialty
6401002419MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1497152995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N MARTEL AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464276",
            "telephone_number": "248-495-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N MARTEL AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "248-495-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Stevens St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021620",
            "country_code": "US",
            "telephone_number": "810-232-6081",
            "fax_number": "810-232-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZNIO",
        "first_name": "LISA",
        "credential": "LPC, CCM, QMHP, BCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.