Individual provider Active NPI

Lese Lackey, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1073937868
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-24571 Issued in AZ
Practice address
20440 N 27TH Ave
Phoenix, AZ 85027-3240
Phone
(480) 882-4545
Fax
(480) 882-4545
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-24571 AZ Primary

Addresses

Primary practice location

20440 N 27TH Ave
Phoenix, AZ 85027-3240

Mailing address

24894 W Dove Run Dr
Buckeye, AZ 85326-1721
Phone (623) 633-1362

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
I20260222000167 AZ Practitioner - Mental Health Counselor 4486135076 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

20440 N 27TH Ave
Phoenix, AZ 85027-3240
Phone (480) 882-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-24571AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health CurrentSince Feb 9, 2026 Accepting new patients
Neighborhood Outreach Access to Health Mental Health CurrentSince Feb 9, 2026 Accepting new patients
Friendship Program Inc Past Accepting new patients

Locations

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

16251 N Cave Creek Rd
Phoenix, AZ 85032

9015 N 3rd St
Phoenix, AZ 85020

20440 N 27th Ave
Phoenix, AZ 85027

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

8705 E McDowell Rd
Scottsdale, AZ 85257

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1073937868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24894 W DOVE RUN DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853261721",
            "telephone_number": "623-633-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273240",
            "telephone_number": "480-882-4545",
            "fax_number": "480-882-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "LESE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.