Individual provider Active NPI

Nancy Lynn Gerlach, LCSW

  • Professional Counselor
  • Prescott, AZ
National Provider Identifier
1710450879
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCSW-17499 Issued in AZ
Practice address
155 Partridge LN
Prescott, AZ 86303-5330
Phone
(602) 525-4767
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 LCSW-17499 AZ Primary

Addresses

Primary practice location

155 Partridge LN
Prescott, AZ 86303-5330

Mailing address

155 Partridge LN
Prescott, AZ 86303-5330
Phone (602) 525-4767

Other practice location 1

1000 Ainsworth Dr Ste B205
Prescott, AZ 86305-3410
Phone (928) 707-1841 ext. 71841

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
I20230612001400 AZ Practitioner - Clinical Social Worker 4587021241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 N McCormick St
Suite 103
Prescott, AZ 86301-2725
Phone (928) 707-1841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-17499AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Awake for Life, LLC Clinical CurrentSince May 1, 2023 Accepting new patients

Locations

143 N McCormick St
Ste 103
Prescott, AZ 86301
Phone (928) 778-4745

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1710450879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PARTRIDGE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035330",
            "telephone_number": "602-525-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PARTRIDGE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035330",
            "telephone_number": "602-525-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Ainsworth Dr Ste B205",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863053410",
            "country_code": "US",
            "telephone_number": "928-707-1841 x71841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LCSW-17499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.