Individual provider Active NPI

Lisa Cole, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1760654958
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-10756 Issued in AZ
Practice address
202 E McDowell Rd
Ste 132
Phoenix, AZ 85004-4588
Phone
(602) 909-2496
Fax
(602) 293-3147
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-10756 AZ Primary

Addresses

Primary practice location

202 E McDowell Rd
Ste 132
Phoenix, AZ 85004-4588

Mailing address

202 E McDowell Rd
Ste 132
Phoenix, AZ 85004-4588
Phone (602) 909-2496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 13, 2024 through Aug 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-10756AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1760654958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E MCDOWELL RD",
            "address_2": "STE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044588",
            "telephone_number": "602-909-2496",
            "fax_number": "602-293-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MCDOWELL RD",
            "address_2": "STE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044588",
            "telephone_number": "602-909-2496",
            "fax_number": "602-293-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.