Individual provider Active NPI

Lisa Sumitra Kieran

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1609417740
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-23526 Issued in AZ
Practice address
166 E Limberlost Dr Unit 102
Tucson, AZ 85705-8816
Phone
(360) 287-4847
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 LH61249712 WA
Mental Health Counselor 101YM0800X LPC-23526 AZ Primary

Addresses

Primary practice location

166 E Limberlost Dr Unit 102
Tucson, AZ 85705-8816

Mailing address

PO Box 5161
Tucson, AZ 85703-0161
Phone (360) 287-4847

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
LPC-23526AZMDMental Health Counselor
LH61249712WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1609417740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5161",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857030161",
            "telephone_number": "360-287-4847",
            "fax_number": "562-583-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E LIMBERLOST DR UNIT 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857058816",
            "telephone_number": "360-287-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERAN",
        "first_name": "LISA",
        "middle_name": "SUMITRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61249712",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-23526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.