Individual provider Active NPI

Sair Kudzu Lazzaro, LPC, NCC, ATR

  • Art Therapist
  • Flagstaff, AZ
National Provider Identifier
1619875317
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
23351
Practice address
1515 E Cedar Ave Ste B-4
Flagstaff, AZ 86004-1645
Phone
(928) 779-4550
Fax
(928) 779-4493
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 25182 AZ
Art Therapist 221700000X 23351 Primary

Addresses

Primary practice location

1515 E Cedar Ave Ste B-4
Flagstaff, AZ 86004-1645

Mailing address

1515 E Cedar Ave Ste B-4
Flagstaff, AZ 86004-1645
Phone (928) 779-4550

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

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1619875317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE B-4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041645",
            "telephone_number": "928-779-4550",
            "fax_number": "928-779-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE B-4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041645",
            "telephone_number": "928-779-4550",
            "fax_number": "928-779-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARO",
        "first_name": "SAIR",
        "middle_name": "KUDZU",
        "credential": "LPC, NCC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "25182",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "23351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.