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PATRICK ANDERSON LISAC
NPI 1093455396
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since April 01, 2022
3930 N 30TH AVE, PHOENIX, AZ 85017(623) 322-6143(480) 781-4566 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patrick Anderson Lisac NPPES

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

PATRICK ANDERSON LISAC (NPI 1093455396) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (15174) and active in the NPI registry since April 2022. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1093455396
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICK ANDERSONCredential: LISAC
Location Address3930 N 30TH AVEPhoenix, AZ 85017-4607
Mailing Address3930 N 30th AvePhoenix, AZ 85017-4607 · (623) 322-6143 · Fax (480) 781-4566
Phone(623) 322-6143
Fax(480) 781-4566
Sole ProprietorYes
Enumeration DateApril 1, 2022
Last NPPES UpdateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1093455396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · 15174
3930 N 30TH AVE, Phoenix, AZ 85017
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Secondary Practice Location 1

Location 12222 N 24th StPhoenix, AZ 85008-2716 · Phone (602) 681-7188

Other Identifiers 1

Medicaid091903AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

ARRIAM T MELES CM
Case Manager/Care Coordinator
3930 N 30TH AVE
PHOENIX, AZ 85017
Maricopa County (662) 332-2614
MS. STACEY MARIE STEVENS FNP-C
Nurse Practitioner (Primary Care)
3930 N 30TH AVE
PHOENIX, AZ 85017
Maricopa County (623) 322-6143
DEANAHA M ROMERO LPC
Counselor (Professional)
3930 N 30TH AVE
PHOENIX, AZ 85017
Maricopa County (623) 322-6143
HELPING HANDZ COUNSELING SERVICES-OUTPATIENT TREATMENT CENT
Clinic/Center (Multi-Specialty)
3930 N 30TH AVE
PHOENIX, AZ 85017
Maricopa County (623) 401-2620
JAMESRIA A HARRIS LAC
Counselor
3930 N 30TH AVE
PHOENIX, AZ 85017
Maricopa County (623) 322-6143

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 Patrick Anderson's NPI number?

The NPI number for Patrick Anderson is 1093455396. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Patrick Anderson located?

Patrick Anderson practices at 3930 N 30th Ave, Phoenix, AZ 85017. The listed phone number is (623) 322-6143.

What is Patrick Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patrick Anderson was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.