Lorraine Mischke, LASAC

Key facts

NPI

1659075554

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

LASAC-15313 (AZ)

Practice address

4425 N 78TH St Apt 157B
Scottsdale, AZ 85251-2548

Phone

(480) 567-2235

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Cornerstone Healing Center, LLC Substance Use Disorder Rehabilitation Clinic/Center · Scottsdale, AZ · NPI 1154823680
  NPD (past) ADDICTION (SUBSTANCE USE DISORDER)
• Cornerstone Healing Center, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ · NPI 1649958760
  NPD (past)
• Cornerstone Healing Center, LLC Substance Abuse Rehabilitation Facility · Scottsdale, AZ · NPI 1710556808
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2023.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1659075554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N 78TH ST APT 157B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512548",
            "telephone_number": "480-567-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 N 78TH ST APT 157B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512548",
            "telephone_number": "480-567-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHKE",
        "first_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LASAC-15313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Scottsdale, AZ · Addiction (Substance Use Disorder) Counselor in Arizona