Ezra Lavinsky, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-22856 Issued in AZ

Practice address

1579 W Gurley St
Prescott, AZ 86305-2829

Phone

(928) 713-3658

NPI assigned

Jun 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 26, 2026 through May 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1285476010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 E CHESHIRE LOOP",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863140086",
            "telephone_number": "928-499-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052829",
            "telephone_number": "928-713-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINSKY",
        "first_name": "EZRA",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamra Larrabee, L.AC.
• Elizabeth Larson, DNP, APRN, AGACNP-BC
• Don K Larue, MPAS,APA-C
• Timothy John Laskowski, BSW, PHD
• Laura Crimmins PLLC
• Dani Joelle Atlas Lavoire, LM, CPM, IBCLC
• Kenneth Gayle Lawlor, DO
• Mary Ellen Lawrence, M.D.
• Murray Lawson, D.C.
• Margaret Elizabeth Layton, RDH

• Mental Health Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.