Individual provider Active NPI

Alexander Tai Nelson, LAC

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1164108668
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-22267 Issued in AZ
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

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311004290 AZ Practitioner - Mental Health Counselor 8921581521 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LAC-22267AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Integrated Health PLLC CurrentSince Mar 1, 2026 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.

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

Verify at the official NPI Registry.