Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Lauren Greenwood, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043994197

Kimberly Lauren Greenwood, LISAC is a Mental Health Counselor in Mesa, Arizona. Qualified in 2018, 8 years ago. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

6262 E Broadway Rd Ste 110
Mesa, AZ 85206-6101
Phone: (480) 210-5570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LISAC-155279 (AZ)

Record details

NPI number1043994197
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISAC
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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