Lisa Anne Elliott, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-20799 Issued in AZ

Practice address

3800 N Central Ave Ste 1010
Phoenix, AZ 85012-1918

Phone

(026) 566-7627

NPI assigned

Nov 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Trailheads Counseling and Consulting Services of the Southwest

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1275383184

  Mental Health

  NPD Authorized official
• Dehp LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1366815508
  NPD (past)
• Dehp LLC

  • Counselor
  • Phoenix, AZ
  • NPI 1679047336
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1497269179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W HARMONT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215638",
            "telephone_number": "602-882-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N CENTRAL AVE STE 1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121918",
            "telephone_number": "026-566-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 N 7th St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145014",
            "country_code": "US",
            "telephone_number": "602-566-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Elliott, LCSW
• Celeste Elliott
• David L Elliott, MD
• Elizabeth Elliott, NP
• Holly Michelle Elliott, RN.
• Molly Elliott, LMFT
• Nicole Elliott, LPN
• Nicole Elliott, LPC
• Sheila Lorene Elliott
• Amy L Ellis, MNS CCC SLP

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.