ROBERT J LIZARDY
NPI 1023405743
Marriage & Family Therapist in Portland, OR

Q: What is Robert Lizardy's NPI number?

The NPI number for Robert Lizardy is 1023405743. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Q: What is Robert Lizardy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Lizardy was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment

209 SW 4TH AVE, PORTLAND, OR 97204(719) 680-0436 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert J Lizardy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J LIZARDY (NPI 1023405743) is an individual marriage & family therapist in Portland, Oregon, licensed in California (100114) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023405743

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameROBERT J LIZARDY

Location Address209 SW 4TH AVEPortland, OR 97204-1813

Mailing Address2005 Ne 17th Ave Apt 2Portland, OR 97212-4583 · (719) 680-0436

Phone(719) 680-0436

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 21, 2015

Last NPPES UpdateNovember 7, 2023

NPPES CertifiedNovember 7, 2023

✔ NPI 1023405743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 100114

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

209 SW 4TH AVE, Portland, OR 97204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert J Lizardy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567979974

PECOS Enrollment IDI20250730001281

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EMILY KATHERINE TARNASKY LCSW

Social Worker (Clinical)

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 988-2303

SOAD NUR ABDI

Case Manager/Care Coordinator

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 231-2629

MS. MELANIE ANNE RIXFORD

Social Worker (Clinical)

209 SW 4TH AVE, SUITE 520
PORTLAND, OR 97204

Multnomah County (503) 988-5464

LAUREN RIDDLE

Peer Specialist

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 988-5464

KANOELEHUA EGLESTON

Counselor (Mental Health)

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 310-8847

MULTNOMAH COUNTY

Clinic/Center (Public Health, State or Local)

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 445-7699

ROSE-YVENIE ALEXANDRE

Student in an Organized Health Care Education/Training Program

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 988-5464

ALEX GARCIA

Counselor (School)

209 SW 4TH AVE
PORTLAND, OR 97204

Multnomah County (503) 988-5464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Lizardy's NPI number?

The NPI number for Robert Lizardy is 1023405743. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Robert Lizardy located?

Robert Lizardy practices at 209 SW 4th Ave, Portland, OR 97204. The listed phone number is (719) 680-0436.

What is Robert Lizardy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Robert Lizardy enrolled in Medicare?

Yes. Robert Lizardy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Robert Lizardy was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.