Active NPI
Jeremy B Lesser, LAC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1073270328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-18538
- Practice address
- 300 W Clarendon Ave Ste 470
Phoenix, AZ 85013-3475 - Phone
- (602) 345-1502
- NPI assigned
- Nov 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-18538 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave Ste 470
Phoenix, AZ 85013-3475
Mailing address
5401 E Van Buren St Unit 2013
Phoenix, AZ 85008-3461
Phone (732) 977-6527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-18538 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentience Psycological Services PLLC | Single Specialty | Current | Accepting new patients |
Locations
300 W Clarendon Ave
Ste 470
Phoenix, AZ 85013
Phone (602) 354-8906
Organizations & group practices 1
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": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1073270328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 E VAN BUREN ST UNIT 2013",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850083461",
"telephone_number": "732-977-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133475",
"telephone_number": "602-345-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "JEREMY",
"middle_name": "B",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-18538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.