LISANNE JOHNSON MAZZOLA LPC
NPI 1396074514
Counselor - Professional in Thornton, CO

Active since December 17, 2009PECOS EnrolledAccepts Medicare Assignment
8931 HURON ST, THORNTON, CO 80260(303) 845-0669 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisanne Johnson Mazzola Lpc NPPES

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

LISANNE JOHNSON MAZZOLA LPC (NPI 1396074514) is an individual professional provider in Thornton, Colorado, licensed in Colorado (LPC-4927) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396074514
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISANNE JOHNSON MAZZOLACredential: LPC
Location Address8931 HURON STThornton, CO 80260-6806
Mailing Address8931 Huron StThornton, CO 80260-6806 · (303) 845-0669
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 17, 2009
Last NPPES UpdateMay 21, 2015
NPI 1396074514 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 CO · LPC-4927
8931 HURON ST, Thornton, CO 80260

Other Names 1

Former Name (1)Lisanne Johnson Lpc

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

Lisanne Johnson Mazzola Lpc 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 ID7113490020
PECOS Enrollment IDI20260623001318
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 20

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

Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Social Worker (Clinical)
8931 HURON ST
THORNTON, CO 80260
Nurse Practitioner (Psychiatric/Mental Health)
8931 HURON ST
THORNTON, CO 80260
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Registered Nurse
8931 HURON ST
THORNTON, CO 80260
Social Worker
8931 HURON ST
THORNTON, CO 80260
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260

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 Lisanne Mazzola's NPI number?

The NPI number for Lisanne Mazzola is 1396074514. It was assigned to this individual provider in the NPPES registry on December 17, 2009. The provider is also known as Lisanne Johnson Lpc.

Where is Lisanne Mazzola located?

Lisanne Mazzola practices at 8931 Huron St, Thornton, CO 80260. The listed phone number is (303) 845-0669.

What is Lisanne Mazzola's specialty?

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

Is Lisanne Mazzola enrolled in Medicare?

Yes. Lisanne Mazzola 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 Lisanne Mazzola was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.