Individual provider Active NPI

Lisa Ann Rauch, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1689189052
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17050 Issued in AZ
Practice address
535 N Wilmot Rd
Tucson, AZ 85711-2600
Phone
(520) 694-1794
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 17050 AZ Primary

Addresses

Primary practice location

535 N Wilmot Rd
Tucson, AZ 85711-2600

Mailing address

4729 E Sunrise Dr # 186
Tucson, AZ 85718-4534
Phone (520) 907-0480

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
I20240501004077 AZ Practitioner - Mental Health Counselor 3173963527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Statt Counseling Services PLLCGroup PAC ID 4880955525, 10 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

2295 W Magee Rd
Unit 105
Tucson, AZ 85742-4316
Phone (520) 257-1168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17050AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Apr 17, 2024 Accepting new patients
B--Umg Integrated Health Clinic, LLC Single Specialty CurrentSince Mar 18, 2024 Accepting new patients
Statt Counseling Services, PLLC Professional CurrentSince May 27, 2025 Accepting new patients
Banner-University Medical Group Single Specialty Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

2295 W Magee Rd
Unit 105
Tucson, AZ 85742
Phone 5202571168 ext. 713

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

Organizations & group practices 4

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1689189052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 E SUNRISE DR # 186",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184534",
            "telephone_number": "520-907-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112600",
            "telephone_number": "520-694-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.