Lisa Maria Lee Macioci, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51566 Issued in CA

Practice address

395 Taylor Blvd Ste 115
Pleasant Hill, CA 94523-2298

Phone

(925) 448-0866

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1508037433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 TAYLOR BLVD STE 115",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232298",
            "telephone_number": "925-448-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 TAYLOR BLVD STE 115",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232298",
            "telephone_number": "925-448-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIOCI",
        "first_name": "LISA",
        "middle_name": "MARIA LEE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lux Senior Care Ca LLC
• Luxottica of America Inc.
• Lynlee Ann Lyckberg, REG PSYCH ASSOCIATE
• Feng Ma
• Ronnie Mabou
• Jessica K. Macready, LCSW
• Anthony Madayag
• Janet S Madonna, MFT
• Laura Ann Madsen, LMFT
• Jamel Major

• Marriage & Family Therapist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.