Individual provider Active NPI

Lynette Ann Araiza, LPC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1649075078
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23507 Issued in AZ
Practice address
17505 N 79TH Ave Ste 213B
Glendale, AZ 85308-8728
Phone
(623) 512-8329
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 LPC-23507 AZ Primary

Addresses

Primary practice location

17505 N 79TH Ave Ste 213B
Glendale, AZ 85308-8728

Mailing address

17505 N 79TH Ave Ste 213B
Glendale, AZ 85308-8728
Phone (623) 512-8329

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
I20260415001815 AZ Practitioner - Mental Health Counselor 1254807589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3450 N 3Rd St
Phoenix, AZ 85012-2331

36807 N 14TH St
Phoenix, AZ 85086-9269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23507AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitamin Hope Counseling LLC Professional CurrentSince Apr 6, 2025 Accepting new patients

Locations

17505 N 79th Ave
Ste 213B
Glendale, AZ 85308
Phone (623) 512-8329

Organizations & group practices 2

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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1649075078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 213B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088728",
            "telephone_number": "623-512-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 213B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088728",
            "telephone_number": "623-512-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAIZA",
        "first_name": "LYNETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.