Individual provider Active NPI

Lisa A Eisenbraun-Long, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1710270673
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
235007 Issued in AZ
Practice address
125 E Mabel St
Tucson, AZ 85705-6654
Phone
(520) 524-4757
Fax
(520) 844-6585
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 235007 AZ Primary

Addresses

Primary practice location

125 E Mabel St
Tucson, AZ 85705-6654

Mailing address

125 E Mabel St
Tucson, AZ 85705-6654
Phone (520) 524-4757

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417000239 AZ Practitioner - Nurse Practitioner 4284913666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tucson Counseling Associates LLCGroup PAC ID 9032500285, 6 clinicians

Practice addresses (Care Compare)

125 E Mabel St
Tucson, AZ 85705-6654
Phone (520) 214-0818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Counseling Associates, LLC CurrentSince Jan 15, 2025 Accepting new patients
Tucson Counseling Associates, LLC CurrentSince Jan 15, 2025 Accepting new patients
Oregon City Medical Past Accepting new patients

Locations

125 E Mabel St
Tucson, AZ 85705
Phone (520) 214-0818

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.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1710270673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MABEL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056654",
            "telephone_number": "520-524-4757",
            "fax_number": "520-844-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MABEL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056654",
            "telephone_number": "520-524-4757",
            "fax_number": "520-844-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBRAUN-LONG",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "235007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.