Active NPI
Emily Nelson, MA, LAC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1487519567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-23762
- Practice address
- 11747 N 19TH Ave
Phoenix, AZ 85029-3590 - Phone
- (602) 613-0403
- NPI assigned
- Dec 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-23762 | AZ | Primary |
Addresses
Primary practice location
11747 N 19TH Ave
Phoenix, AZ 85029-3590
Mailing address
PSC 80 Box 10964
Apo, AP 96367-0012
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-23762 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1487519567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 80 BOX 10964",
"city": "APO",
"state": "AP",
"postal_code": "963670012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11747 N 19TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293590",
"telephone_number": "602-613-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EMILY",
"credential": "MA, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-19",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-23762",
"primary": true
}
],
"identifiers": [],
"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 Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.