Havasu Behavioral Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HAVASU BEHAVIORAL HEALTH, LLC

Practice address

1695 Mesquite Ave Ste 216
Lake Havasu City, AZ 86403-5688

Phone

(928) 453-0404

NPI assigned

Aug 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly WalkerNPI 1215622931

Title

LCSW

Phone

(928) 453-0404

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Walker

  • Clinical Social Worker
  • Lake Havasu City, AZ
  • NPI 1215622931
  Medicare reassignment Care Compare group NPD Authorized official
• L D Lumpkin, LCSW LISAC

  • Clinical Social Worker
  • Lake Havasu City, AZ
  • NPI 1922023621
  Medicare reassignment Care Compare group NPD
• Nicholas Beard, LPC

  • Counselor
  • Lake Havasu City, AZ
  • NPI 1295212660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1033764097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 216",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035688",
            "telephone_number": "928-453-0404",
            "fax_number": "928-855-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 216",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035688",
            "telephone_number": "928-453-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "928-453-0404"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Mark McDonald DO PLLC
• Morgan Harrison, FNP-C
• Chad Edward Hartley, MD
• Stephanie Hatch, SLP
• Peter Hattar, DMD
• Havasu Cardiac Surgery PC
• Havasu Cardiac Surgery PLLC
• Havasu Dental Center PLLC
• Havasu Emergency Physicians, PC
• Havasu Foot & Ankle Center

• Clinical Social Worker in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.