Individual provider Active NPI

Lisa Brody-Doucet, LPC

  • Professional Counselor
  • Goodyear, AZ
National Provider Identifier
1740745330
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
22608 Issued in AZ
Practice address
3988 N 152ND Dr
Goodyear, AZ 85395-8798
Phone
(720) 245-4856
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0013216 CO
Professional Counselor 101YP2500X 22608 AZ Primary

Addresses

Primary practice location

3988 N 152ND Dr
Goodyear, AZ 85395-8798

Mailing address

3988 N 152ND Dr
Goodyear, AZ 85395-8798
Phone (720) 245-4856

Other names 1

  • Lisa Brody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20240904000006 AZ Practitioner - Mental Health Counselor 9436698529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcann Mental Health Services PLLCGroup PAC ID 0941335350, 13 clinicians

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 139
Phoenix, AZ 85032-2239
Phone (602) 824-9309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22608AZMDProfessional Counselor
LPC.0013216COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marcann Mental Health Services, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

4045 E Bell Rd
Ste 139
Phoenix, AZ 85032
Phone (602) 824-9309

3815 E Bell Rd
Ste 1500
Phoenix, AZ 85032
Phone (602) 494-5015

Organizations & group practices 1

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1740745330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958798",
            "telephone_number": "720-245-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958798",
            "telephone_number": "720-245-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY-DOUCET",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013216",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "22608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BRODY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.