LORI SUE LIGHTMAN LPC
NPI 1063457745
Counselor - Addiction (Substance Use Disorder) in Gilbert, AZ
NPI Status: Active since June 18, 2006
Contact Information
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
Phone: (480) 820-0825
Fax: (480) 820-7863
- Individual
- Female
- Years of Experience 28
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LORI LIGHTMAN
This page provides the complete NPI Profile along with additional information for Lori Lightman, a provider established in Gilbert, Arizona with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1063457745 assigned on June 2006. The practitioner's primary taxonomy code is 101YA0400X with license number LISAC - 2282 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1063457745
- Provider Name
- LORI SUE LIGHTMAN LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 880 N COLORADO ST GILBERT, AZ 85233
- Location Phone
- (480) 820-0825
- Location Fax
- (480) 820-7863
- Mailing Address
- 4747 N 7TH ST STE 100 PHOENIX, AZ 85014
- Mailing Phone
- (602) 279-7655
- Medical School Name
- OTHER
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2006
- Last Update Date
- 08-24-2022
- Code Navigator
A Substance Abuse or Addiction Counselor like Lori Lightman advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LISAC - 2282
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
751116 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
Lori Lightman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Lori Lightman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5496108110
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240130001382
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for LORI SUE LIGHTMAN LPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 6 | 3 | 4 | 5 | 7 | 7 | 4 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 12 | 3 | 8 | 5 | 14 | 7 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 2 + 3 + 8 + 5 + 1 + 4 + 7 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1063457745 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
BRENNA PECK LPC
Counselor
(Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MS. AMY WALKER LEVENDUSKY LCSW
Social Worker
(Clinical)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MS. LISA KRAMER
Counselor
(Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MS. JEAN KERR LCSW
Counselor
(Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
ANNE NOSER LPC
Counselor
(Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MRS. DANIELLE ORR FNP-C, PMHNP-BC
Nurse Practitioner
(Psychiatric/Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
DR. SANGHAMITRA MISHRA CHOWDHURY M.D.
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MS. JANET KNAPP COOPER N.P.
Nurse Practitioner
(Psychiatric/Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
LEAH M THOMAS
Counselor
(Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
DR. MARK TRAVIS CALLESEN M.D.
Psychiatry & Neurology
(Psychiatry)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MRS. MELANIE HOPE OGLESBY PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MR. NORMAN EDMUND VEIERSTAHLER M.A., LPC, NCC, CCTP
Counselor
(Professional)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
NATHAN HORTON
Social Worker
(Clinical)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
DEMECIA HOPE PISANO BSW
Social Worker
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
ADAM BOLTZ MA, LMFT
Marriage & Family Therapist
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
ZACHARY ALEXANDER RAMIREZ LPC
Counselor
(Professional)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
TAYLOR GOODMAN
Social Worker
(Clinical)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
JEWISH FAMILY & CHILDREN'S SERVICE
Community/Behavioral Health
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
EVAN TYLER ROMRELL MAS-MFT, LMFT
Marriage & Family Therapist
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
MRS. MARGARET Z SCHLENKER FNP, PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
880 N COLORADO ST
GILBERT, AZ
ZIP 85233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063457745, enumerated as an "individual" on June 18, 2006.
The provider is located at 880 N COLORADO ST GILBERT, AZ 85233 and the phone number is (480) 820-0825.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to verify.