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NICOLE ROGERS LISAC
NPI 1265838890
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since November 10, 2014PECOS Enrolled
3222 N 37TH ST, PHOENIX, AZ 85018(602) 599-5554(602) 599-5854 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Rogers Lisac NPPES

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

NICOLE ROGERS LISAC (NPI 1265838890) is an individual addiction (substance use disorder) provider in Phoenix, Arizona and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265838890
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE ROGERSCredential: LISAC
Location Address3222 N 37TH STPhoenix, AZ 85018-6304
Mailing Address3710 W Greenway Rd Ste 104Phoenix, AZ 85053-3729 · (602) 466-2036
Phone(602) 599-5554
Fax(602) 599-5854
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 10, 2014
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1265838890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3222 N 37TH ST, Phoenix, AZ 85018
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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 (PECOS)

Nicole Rogers Lisac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133696776
PECOS Enrollment IDI20260430003199
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 4

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

LIFEWELL BEHAVIORAL WELLNESS
Community Based Residential Treatment Facility, Mental Illness
3222 N 37TH ST
PHOENIX, AZ 85018
Maricopa County (602) 808-2800
TERROS, INC.
Community Based Residential Treatment Facility, Mental Illness
3222 N 37TH ST
PHOENIX, AZ 85018
Maricopa County (602) 685-6000
TRACY ANN HENDERSON MA, BHT
Case Manager/Care Coordinator
3222 N 37TH ST
PHOENIX, AZ 85018
Maricopa County (602) 599-5475
ERICK ARELLANO BSW
Social Worker
3222 N 37TH ST
PHOENIX, AZ 85018
Maricopa County (602) 808-2822

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 Nicole Rogers's NPI number?

The NPI number for Nicole Rogers is 1265838890. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Nicole Rogers located?

Nicole Rogers practices at 3222 N 37th St, Phoenix, AZ 85018. The listed phone number is (602) 599-5554.

What is Nicole Rogers's specialty?

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

Is Nicole Rogers enrolled in Medicare?

Yes. Nicole Rogers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Rogers was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.