Active NPI
Gayle Marie Lazar, M.E.D
- School Counselor
- Phoenix, AZ
National Provider Identifier
1316088164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- LAC-1761
- Practice address
- 4510 N 37TH Ave
Phoenix, AZ 85019-3206 - Phone
- (602) 336-2990
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | LAC-1761 | AZ | Primary |
Addresses
Primary practice location
4510 N 37TH Ave
Phoenix, AZ 85019-3206
Mailing address
6530 N 44TH Ave
Glendale, AZ 85301-4236
Phone (623) 842-8616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 572877 | Medicaid | AZ |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-1761 | AZ | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Maricopa | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1093938441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316088164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6530 N 44TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014236",
"telephone_number": "623-842-8616",
"fax_number": "623-842-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 N 37TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850193206",
"telephone_number": "602-336-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "GAYLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.E.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "LAC-1761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "572877",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.