Active NPI
Alexander Tai Nelson, LAC
- Counselor
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-22267
- Practice address
- 8585 E Hartford Dr Ste 103
Scottsdale, AZ 85255-5472 - Phone
- (480) 562-6600
- Fax
- (480) 562-6606
- NPI assigned
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-22267 | AZ | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
8585 E Hartford Dr Ste 103
Scottsdale, AZ 85255-5472
Mailing address
2433 W Main St
Mesa, AZ 85201-7801
Phone (724) 944-8298
Other practice location 1
34975 N North Valley Pkwy Ste 152
Phoenix, AZ 85086-4032
Phone (724) 944-8298
Other practice location 2
8985 E Bell Rd
Scottsdale, AZ 85260-1573
Phone (724) 944-8298
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4141 W Sunnyside Ave
Phoenix, AZ 85029-3055
8585 E Hartford Dr
Scottsdale, AZ 85255-5471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-22267 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully Integrated Health PLLC | Current | Accepting new patients | |
| Coopercare Az, PLLC | Current | Accepting new patients |
Locations
8585 E Hartford Dr
Ste 103
Scottsdale, AZ 85255
Phone (480) 562-6600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1083102826
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1922704808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1164108668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2433 W MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852017801",
"telephone_number": "724-944-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 E HARTFORD DR STE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555472",
"telephone_number": "480-562-6600",
"fax_number": "480-562-6606"
}
],
"practiceLocations": [
{
"address_1": "34975 N North Valley Pkwy Ste 152",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850864032",
"country_code": "US",
"telephone_number": "724-944-8298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8985 E Bell Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852601573",
"country_code": "US",
"telephone_number": "724-944-8298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "ALEXANDER",
"middle_name": "TAI",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-22267",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.