LISAURA D LOZADA-GOODE LCPC, BC-DMT
NPI 1154783975
Counselor - Professional in Chicago, IL

Active since March 22, 2016Opted out of Medicare · through Jan 16, 2028
6007 N SAUGANASH AVE FRNT, CHICAGO, IL 60646(773) 682-1068 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 27, 2020, Mar 22, 2016 (2 updates tracked since 2016).

About Lisaura D Lozada-goode Lcpc, Bc-dmt NPPES

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

LISAURA D LOZADA-GOODE LCPC, BC-DMT (NPI 1154783975) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.008433) and active in the NPI registry since March 2016. She has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1154783975
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISAURA D LOZADA-GOODECredential: LCPC, BC-DMT
Location Address6007 N SAUGANASH AVE FRNTChicago, IL 60646-5227
Mailing Address5205 W Agatite Ave, Unit 1Chicago, IL 60630-3703 · (773) 682-1068
Sole ProprietorYes
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
NPI 1154783975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.008433
6007 N SAUGANASH AVE FRNT, Chicago, IL 60646

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lisaura D Lozada-goode Lcpc, Bc-dmt has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lisaura Lozada-goode's NPI number?

The NPI number for Lisaura Lozada-goode is 1154783975. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Lisaura Lozada-goode located?

Lisaura Lozada-goode practices at 6007 N Sauganash Ave Frnt, Chicago, IL 60646. The listed phone number is (773) 682-1068.

What is Lisaura Lozada-goode's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisaura Lozada-goode enrolled in Medicare?

No. Lisaura Lozada-goode has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisaura Lozada-goode was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.