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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KATHLEEN W CORMIER LISAC
NPI 1699757716
Counselor in Prescott, AZ

Active since November 15, 2005
625 W HILLSIDE AVE, RUTH CLINIC, PRESCOTT, AZ 86301(928) 445-5211(928) 776-8484 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen W Cormier Lisac NPPES

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

KATHLEEN W CORMIER LISAC (NPI 1699757716) is an individual counselor in Prescott, Arizona, licensed in Arizona (LISAC1004) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1699757716
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATHLEEN W CORMIERCredential: LISAC
Location Address625 W HILLSIDE AVE, RUTH CLINICPrescott, AZ 86301-1936
Mailing Address642 Dameron DrPrescott, AZ 86301-2411 · (928) 445-5211 · Fax (928) 776-8484
Phone(928) 445-5211
Fax(928) 776-8484
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1699757716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LISAC1004
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

625 W HILLSIDE AVE, Prescott, AZ 86301
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Other Names 1

Former Name (1)Kathleen K Wood Lpc

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.

WEST YAVAPAI GUIDANCE CLINIC, INC.
Family Medicine (Adult Medicine)
625 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
MRS. ARGIE JAMAICA G RIVERA DNP, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
625 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
MARYJANE DICKEN RN
Registered Nurse (Psychiatric/Mental Health)
625 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
DR. TERRY ANNE VAUGHAN MD
Psychiatry & Neurology (Psychiatry)
625 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211

Frequently Asked Questions

What is Kathleen Cormier's NPI number?

The NPI number assigned to this healthcare provider is 1699757716, enumerated as an "individual" on November 15, 2005.

Where is the provider located?

The provider is located at 625 W HILLSIDE AVE RUTH CLINIC PRESCOTT, AZ 86301 and the phone number is (928) 445-5211.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.