Mary Anne Stich, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-155249 Issued in AZ

Practice address

2633 E Indian School Rd Ste 250
Phoenix, AZ 85016-0703

Phone

(602) 492-1010

Fax

(888) 434-5444

NPI assigned

Jun 30, 2022

Sex

Female

Sole proprietor

No

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.

• Az Therapy LLC

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1548772684
  NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1619609203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160703",
            "telephone_number": "602-492-1010",
            "fax_number": "888-434-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160703",
            "telephone_number": "602-492-1010",
            "fax_number": "888-434-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W University Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852015633",
            "country_code": "US",
            "telephone_number": "602-935-7070",
            "fax_number": "888-434-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICH",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-155249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Preston Stewart, AA, RBT
• Terry Dawn Stewartsheldon, REGISTERED NURSE
• Chalengpoj Sthapanachai, M.D.
• Matthew Thomas Stib, MD
• Alexandra Morgan Stich, PHARMD
• Michael William Stickels, MD
• William Stickney, D.O.
• Robyn E Stiefeld, M.D.
• Steven Stiel, LCSW
• Connor M Stiers

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

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