Lavada Michele Roberts, LAC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LAC-18183 Issued in AZ

Practice address

15331 W Bell Rd #212
Phoenix, AZ 85008-8500

Phone

(602) 888-9448

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Then and Now Integrated Care Center Inc.

  • Professional Counselor
  • Surprise, AZ
  • NPI 1811507387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1194484055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7344 W COCHISE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456726",
            "telephone_number": "623-308-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD #212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850088500",
            "telephone_number": "602-888-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LAVADA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "LAC-18183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele@thenandnowicc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15331 W Bell Rd #212",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850088500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Roberts
• Justin Michael Roberts, M.D.
• Karen Roberts, R.N.
• Kimberley Jean Roberts, WHNP
• Laney Joyce Roberts, CF-SLP
• Mia J Roberts
• Michael S Roberts, M.D.
• Miranda Roberts, MS CCC-SLP
• Phyllis Roberts
• Robert Roberts, MD,MACC,FRCP,FRSC

• Counseling Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.