Individual provider Active NPI

Lisa Rothfus, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1609246149
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20292 Issued in TX
Practice address
5001 Plaza on the LK
Austin, TX 78746-1070
Phone
(512) 535-1397
Fax
(512) 328-1467
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20292 TX
Clinical Social Worker 1041C0700X 20292 TX Primary

Addresses

Primary practice location

5001 Plaza on the LK
Austin, TX 78746-1070

Mailing address

4 Coleridge LN
Austin, TX 78746-2545
Phone (512) 535-1397

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
20292TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1609246149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COLERIDGE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787462545",
            "telephone_number": "512-535-1397",
            "fax_number": "512-328-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 PLAZA ON THE LK",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461070",
            "telephone_number": "512-535-1397",
            "fax_number": "512-328-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFUS",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; 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.