Active NPI
Eugene Alan Hyatt, LAC
- Mental Health Counselor
- Gilbert, AZ
National Provider Identifier
1104767904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-23849
- Practice address
- 1760 E Pecos Rd Ste 307
Gilbert, AZ 85295-3203 - Phone
- (602) 842-7042
- NPI assigned
- Apr 3, 2026
- 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-23849 | AZ | Primary |
Addresses
Primary practice location
1760 E Pecos Rd Ste 307
Gilbert, AZ 85295-3203
Mailing address
2768 W San Carlos LN
San Tan Valley, AZ 85144-4678
Phone (425) 749-0403
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-23849 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Past | Accepting new patients |
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": "1775174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1104767904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2768 W SAN CARLOS LN",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851444678",
"telephone_number": "425-749-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E PECOS RD STE 307",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953203",
"telephone_number": "602-842-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "EUGENE",
"middle_name": "ALAN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-03",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-23849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.