Individual provider Active NPI

Lauren Elizabeth Chadwick, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1114586039
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17737 Issued in AZ
Practice address
1520 E Pima St
Phoenix, AZ 85034-4639
Phone
(480) 232-8325
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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-17737 AZ Primary

Addresses

Primary practice location

1520 E Pima St
Phoenix, AZ 85034-4639

Mailing address

1520 E Pima St
Phoenix, AZ 85034-4639
Phone (480) 232-8325

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
I20240123001172 AZ Practitioner - Mental Health Counselor 9739531005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17737AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

Organizations & group practices 3

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1114586039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E PIMA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344639",
            "telephone_number": "480-232-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E PIMA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344639",
            "telephone_number": "480-232-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.