Active NPI
Lisa Ann Rauch, LPC
- Professional Counselor
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17050
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17050 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| B--Umg Integrated Health Clinic, LLC | Single Specialty | Current | Accepting new patients |
| Statt Counseling Services, PLLC | Professional | Current | 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.
-
- Professional Counselor
- Tucson, AZ
- NPI 1922542174
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1043758816
Single Specialty
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.