Individual provider Active NPI

Stephanie J Lacasse

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1477213924
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC24456 Issued in AZ
Practice address
2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224
Phone
(480) 674-9220
Fax
(480) 674-9231
NPI assigned
Dec 26, 2021
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC24456 AZ Primary

Addresses

Primary practice location

2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224

Mailing address

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone (480) 674-9220

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
I20260102001477 AZ Practitioner - Mental Health Counselor 5597251140 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

8700 E Via de Ventura
Suite 280
Scottsdale, AZ 85258-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC24456AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC CurrentSince Dec 1, 2025 Accepting new patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients

Locations

3377 S Price Rd
Ste 105
Chandler, AZ 85248
Phone (480) 674-9220

2222 W Pinnacle Peak Rd
Ste 220
Phoenix, AZ 85027
Phone (480) 674-9220

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

Organizations & group practices 3

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": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1477213924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W PINNACLE PEAK RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271224",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACASSE",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC24456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.