Active NPI
Steven Clark Lee, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1164873287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-15812
- Practice address
- 7165 E University Dr Ste 155
Mesa, AZ 85207-6412 - Phone
- (480) 343-3029
- Fax
- (480) 641-9751
- NPI assigned
- Jun 30, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-15812 | AZ | Primary |
Addresses
Primary practice location
7165 E University Dr Ste 155
Mesa, AZ 85207-6412
Mailing address
4447 E Broadway Rd Ste 103
Mesa, AZ 85206-2018
Phone (480) 815-3094
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 |
|---|---|---|---|
| LPC-15812 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1164873287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4447 E BROADWAY RD STE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852062018",
"telephone_number": "480-815-3094",
"fax_number": "480-641-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 E UNIVERSITY DR STE 155",
"city": "MESA",
"state": "AZ",
"postal_code": "852076412",
"telephone_number": "480-343-3029",
"fax_number": "480-641-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEVEN",
"middle_name": "CLARK",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-30",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-15812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.