RICHARD JEWELL LISAC
NPI 1770348385
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since February 14, 2024
2532 W PEORIA AVE, PHOENIX, AZ 85029(602) 583-9742 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Jewell Lisac NPPES

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

RICHARD JEWELL LISAC (NPI 1770348385) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LISAC-155320) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1770348385
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRICHARD JEWELLCredential: LISAC
Location Address2532 W PEORIA AVEPhoenix, AZ 85029-4709
Mailing Address2532 W Peoria AvePhoenix, AZ 85029-4709 · (602) 583-9742
Sole ProprietorNo
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1770348385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in AZ · LISAC-155320
2532 W PEORIA AVE, Phoenix, AZ 85029

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
2532 W PEORIA AVE
PHOENIX, AZ 85029
Counselor (Professional)
2532 W PEORIA AVE
PHOENIX, AZ 85029
Social Worker (Clinical)
2532 W PEORIA AVE
PHOENIX, AZ 85029
Counselor
2532 W PEORIA AVE
PHOENIX, AZ 85029
Counselor (Mental Health)
2532 W PEORIA AVE
PHOENIX, AZ 85029
Public Health or Welfare
2532 W PEORIA AVE
PHOENIX, AZ 85029
Pharmacist
2532 W PEORIA AVE
PHOENIX, AZ 85029
Counselor (Professional)
2532 W PEORIA AVE
PHOENIX, AZ 85029

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 Richard Jewell's NPI number?

The NPI number for Richard Jewell is 1770348385. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Richard Jewell located?

Richard Jewell practices at 2532 W Peoria Ave, Phoenix, AZ 85029. The listed phone number is (602) 583-9742.

What is Richard Jewell's specialty?

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

When was this NPI record last updated?

The NPPES record for Richard Jewell was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.