Christopher Michael Nelson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23732 Issued in AZ

Practice address

21150 N Tatum Blvd Apt 2076
Phoenix, AZ 85050-7209

Phone

(623) 680-3486

NPI assigned

Sep 10, 2025

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1558242032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 N TATUM BLVD APT 2076",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507209",
            "telephone_number": "623-680-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 N TATUM BLVD APT 2076",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507209",
            "telephone_number": "623-680-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Helena Nelson
• Audra Nelson, RD, MS, CNSC
• Benjamin Nelson, M.A., BHT
• Brent Nelson, D.O.
• Caley Nelson, LCSW
• Clinton Gregory Nelson, DO
• Cornelia M Nelson
• Crystal D Nelson, LPN
• Cynthia A Nelson, PNP
• Danielle Catherine Nelson, PA-C

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.