Julio C Landero, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1697 Issued in AZ

Practice address

3003 Hiway 95
Suite 104
Bullhead City, AZ 86442-7860

Phone

(888) 459-1600

Fax

(928) 763-3753

NPI assigned

Feb 2, 2008

Last updated

Feb 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Bilingual Counselors, Inc.

  dba ABC Therapy, Inc

  • Professional Counselor
  • Bullhead City, AZ
  • NPI 1164603239

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201910400000",
    "number": "1831377787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HIWAY 95",
            "address_2": "SUITE 104",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "888-459-1600",
            "fax_number": "928-763-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HIWAY 95",
            "address_2": "SUITE 104",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "888-459-1600",
            "fax_number": "928-763-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERO",
        "first_name": "JULIO",
        "middle_name": "C",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICADC",
            "identifier": "20715",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISAC",
            "identifier": "1697",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOT/SAP",
            "identifier": "0189",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Laser Center PC, a Professional Medical Corporation
• Laboratory Corporation of America
• Ashley Ann Laflamme, LMSW
• Lakeside Orthopedic Institute, LLC
• Frederick Brock Lamb, DDS
• Sarah Louise Langguth, MSN, RN, APRN,FNP-BC
• Kirk Roland Larson, D.D.S.
• Kyle Marsh Larson, D.D.S.
• Tanner Christopher Larson, DMD
• Tucker Reed Larson, DMD

• Addiction (Substance Use Disorder) Counselor in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.