MS. LORETTA L YOUNG LISAC
NPI 1477214799
Counselor - Addiction (Substance Use Disorder) in Mesa, AZ
About Ms. Loretta L Young Lisac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LORETTA L YOUNG LISAC (NPI 1477214799) is an individual addiction (substance use disorder) provider in Mesa, Arizona, licensed in Arizona (15215) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Loretta L Young Lisac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Loretta Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85004
- Reassigned Medicare billing, Arizona enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Loretta Young's NPI number?
The NPI number for Loretta Young is 1477214799. It was assigned to this individual provider in the NPPES registry on January 8, 2022.
Where is Loretta Young located?
Loretta Young practices at 1362 S Vineyard Apt 2108, Mesa, AZ 85210. The listed phone number is (832) 491-4382.
What is Loretta Young's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Loretta Young enrolled in Medicare?
Yes. Loretta Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Loretta Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Young reassigns Medicare benefits to Recovia LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loretta Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Loretta Young was last updated on January 11, 2022. 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.
# Ms. Loretta L Young, LISAC · NPI 1477214799
Addiction (Substance Use Disorder) provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since January 8, 2022.
## Identity
- **NPI:** 1477214799 (Entity type: Individual)
- **Enumerated:** January 8, 2022
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 15215 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1362 S VINEYARD APT 2108, Mesa, AZ 85210-8972
- **Phone:** (832) 491-4382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Recovia LLC (NPI 1427421098, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1477214799) · Data from the CMS NPPES public registry.