Active NPI
Jodi Lyn Wilton, M.ED, LISAC, LPC
- Addiction (Substance Use Disorder) Counselor
- Casa Grande, AZ
National Provider Identifier
1982793063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-1101
- Practice address
- 1901 N Trekell Rd
Casa Grande, AZ 85222-1770 - Phone
- (520) 421-2566
- Fax
- (520) 421-2775
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-1101 | AZ | Primary |
| Professional Counselor | 101YP2500X | LPC-12135 | AZ |
Addresses
Primary practice location
1901 N Trekell Rd
Casa Grande, AZ 85222-1770
Mailing address
1901 N Trekell Rd
Casa Grande, AZ 85222-1770
Phone (520) 421-2566
Other names 1
- Jodi Lyn Livermon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-1101 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-12135 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1982793063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N TREKELL RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852221770",
"telephone_number": "520-421-2566",
"fax_number": "520-421-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N TREKELL RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852221770",
"telephone_number": "520-421-2566",
"fax_number": "520-421-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTON",
"first_name": "JODI",
"middle_name": "LYN",
"credential": "M.ED, LISAC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-1101",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-12135",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "LIVERMON",
"middle_name": "LYN",
"credential": "M.ED, LISAC, LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.