Organization Active NPI

Arizona Behavioral Health Center PC

  • Clinical Social Worker
  • Casa Grande, AZ
National Provider Identifier
1396987459
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARIZONA BEHAVIORAL HEALTH CENTER PC
Practice address
15661 W Impala Dr Ste 1
Casa Grande, AZ 85122-7461
Phone
(602) 343-8232
Fax
(602) 343-8233
NPI assigned
Apr 2, 2009
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Ms. Lakshmi R Nolletti, LCSW, LISACNPI 1780752949
Title
Clinical Director/Owner
Phone
(602) 343-8232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

15661 W Impala Dr Ste 1
Casa Grande, AZ 85122-7461

Mailing address

PO Box 65511
Phoenix, AZ 85082-5511
Phone (602) 343-8232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000635 AZ Part B Supplier - Clinic/Group Practice 8123155850 Receives reassigned benefits from 1 practitioner
Practice locations: Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

2600 N 44th St
Ste B104
Phoenix, AZ 85008
Phone (602) 343-8232

4250 E Camelback Rd
#K300
Phoenix, AZ 85018
Phone (602) 343-8232

4250 E Camelback Rd
Ste K300
Phoenix, AZ 85018
Phone (602) 343-8232

4350 E Camelback Rd
#B210
Phoenix, AZ 85018
Phone (602) 343-8232

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1396987459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65511",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850825511",
            "telephone_number": "602-343-8232",
            "fax_number": "602-343-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 W IMPALA DR STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851227461",
            "telephone_number": "602-343-8232",
            "fax_number": "602-343-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIORAL HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "NOLLETTI",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "602-343-8232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LISAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.