Individual provider Active NPI

Lakeisha G Johnson Ganster, MA, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1639760192
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19537 Issued in AZ
Practice address
7217 E Fayette St
Tucson, AZ 85730-2322
Phone
(719) 232-1199
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19537 AZ Primary

Addresses

Primary practice location

7217 E Fayette St
Tucson, AZ 85730-2322

Mailing address

7217 E Fayette St
Tucson, AZ 85730-2322
Phone (719) 232-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429003279 AZ Practitioner - Mental Health Counselor 0042787855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3501 E Speedway Blvd
Suite 351
Tucson, AZ 85716-3917
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19537AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Tucson LLC PastSince Nov 5, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1639760192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 E FAYETTE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302322",
            "telephone_number": "719-232-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 E FAYETTE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302322",
            "telephone_number": "719-232-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON GANSTER",
        "first_name": "LAKEISHA",
        "middle_name": "G",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "19537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.