NPIMap

Organization Active NPI

Lisa V. Baza

  • Mental Health Counselor
  • Yona, GU
National Provider Identifier
1750725115
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF-76 Issued in GU
Legal business name
LISA V. BAZA
Practice address
1264 N Chalan Canton Tasi
Yona, GU 96915-4644
Phone
(671) 777-3764
Fax
(671) 472-5450
NPI assigned
Apr 28, 2013
Last updated
Apr 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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

Authorized official

Name
Ms. Lisa Villanueva Baza, M.A.NPI 1891337242
Title
Therapist
Phone
(671) 777-3764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF-76 GU Primary

Addresses

Primary practice location

1264 N Chalan Canton Tasi
Yona, GU 96915-4644

Mailing address

1264 N Chalan Canton Tasi
Yona, GU 96915-4644
Phone (671) 777-3764

Other names 1

  • Wellness Consultant Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367107200000",
    "number": "1750725115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 N CHALAN CANTON TASI",
            "city": "YONA",
            "state": "GU",
            "postal_code": "969154644",
            "telephone_number": "671-777-3764",
            "fax_number": "671-472-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 N CHALAN CANTON TASI",
            "city": "YONA",
            "state": "GU",
            "postal_code": "969154644",
            "telephone_number": "671-777-3764",
            "fax_number": "671-472-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA V. BAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-04-28",
        "status": "A",
        "authorized_official_last_name": "BAZA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "671-777-3764",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GU",
            "license": "IMF-76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Consultant",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yona, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.