Individual provider Active NPI

Lacy Garth, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063266658
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
306071 Issued in AZ
Practice address
2601 N 3Rd St Ste 205
Phoenix, AZ 85004-1145
Phone
(480) 494-3164
Fax
(602) 354-9301
NPI assigned
Apr 11, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 306071 AZ Primary

Addresses

Primary practice location

2601 N 3Rd St Ste 205
Phoenix, AZ 85004-1145

Mailing address

2601 N 3Rd St Ste 205
Phoenix, AZ 85004-1145
Phone (480) 494-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016002366 AZ Practitioner - Nurse Practitioner 6103358056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace of Mind Consultants PLLCGroup PAC ID 6800199845, 8 clinicians

Practice addresses (Care Compare)

4435 E Chandler Blvd
Suite 200
Phoenix, AZ 85048-7651
Phone (602) 710-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306071AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Consultants PLLC CurrentSince Mar 8, 2025 Accepting new patients
Mind 247 Practice LLC CurrentSince May 8, 2025 Accepting new patients
Serenity TMS Centers LLC CurrentSince Oct 10, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince May 8, 2025 Accepting new patients
Mind 247 Practice LLC Current Accepting new patients
Desert Clover Psychiatry, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1237 S Val Vista Dr
Ste 117118
Mesa, AZ 85204

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
Phone (602) 834-0404

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1063266658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041145",
            "telephone_number": "480-494-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041145",
            "telephone_number": "480-494-3164",
            "fax_number": "602-354-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTH",
        "first_name": "LACY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "306071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.