Individual provider Active NPI

Morgan Elise Fechtel, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1073105672
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-19210 Issued in AZ
Practice address
10844 N 23Rd Ave Ste 100
Phoenix, AZ 85029-4947
Phone
(623) 265-3545
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-19210 AZ Primary

Addresses

Primary practice location

10844 N 23Rd Ave Ste 100
Phoenix, AZ 85029-4947

Mailing address

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647

Other identifiers 1

IdentifierTypeStateIssuer
LPC-19210OtherAZARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121001421 AZ Practitioner - Mental Health Counselor 0941658595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

2414 W Old Paint TRL
Phoenix, AZ 85086-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19210AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC CurrentSince Jan 1, 2024 Accepting new patients
Arizona Therapy Associates, LLC CurrentSince Jan 1, 2024 Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 22, 2021 Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 11, 2018 Accepting new patients

Locations

930 N Switzer Canyon Dr
Ste 103
Flagstaff, AZ 86001
Phone (844) 385-3747

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1073105672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 N 23RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294947",
            "telephone_number": "623-265-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHTEL",
        "first_name": "MORGAN",
        "middle_name": "ELISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-19210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.