Individual provider Active NPI

Lindsay R Clanagan, MS, LAC

  • Mental Health Counselor
  • Surprise, AZ
National Provider Identifier
1376165431
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-21781 Issued in AZ
Practice address
18015 W Acapulco LN
Surprise, AZ 85388-8733
Phone
(505) 681-1723
NPI assigned
May 12, 2020
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-21781 AZ Primary

Addresses

Primary practice location

18015 W Acapulco LN
Surprise, AZ 85388-8733

Mailing address

18015 W Acapulco LN
Surprise, AZ 85388-8733
Phone (505) 681-1723

Other names 1

  • Lindsay Rae Warren Former name

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
I20251211003755 AZ Practitioner - Mental Health Counselor 8628562055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2414 W Old Paint TRL
Phoenix, AZ 85086-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LAC-21781AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Therapy Associates, LLC CurrentSince Nov 1, 2025 Accepting new patients
Raymond W Lemberg PHD PC Counselor CurrentSince Nov 1, 2025 Accepting new patients

Locations

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1376165431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18015 W ACAPULCO LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888733",
            "telephone_number": "505-681-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18015 W ACAPULCO LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888733",
            "telephone_number": "505-681-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANAGAN",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "WARREN",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.