Individual provider Active NPI

Nicole Lawson, M.S.

  • Marriage & Family Therapist
  • San Tan Valley, AZ
National Provider Identifier
1790141422
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
16003 Issued in AZ
Practice address
37200 N Gantzel Rd Ste 200
San Tan Valley, AZ 85140-7385
Phone
(888) 374-5066
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1300 OK
Marriage & Family Therapist 106H00000X 16003 AZ Primary

Addresses

Primary practice location

37200 N Gantzel Rd Ste 200
San Tan Valley, AZ 85140-7385

Mailing address

37200 N Gantzel Rd Ste 200
San Tan Valley, AZ 85140-7385
Phone (888) 374-5066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240313000696 OK Practitioner - Marriage and Family Therapist 3577909563 Reassigns benefits to 1 organization
I20250408002615 AZ Practitioner - Marriage and Family Therapist 3577909563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1300OKMDClinical Psychologist
16003AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Mar 28, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

9000 W Thunderbird Rd
Ste 115
Peoria, AZ 85381
Phone (623) 253-1226

9000 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 253-1226

37200 N Gantzel Rd
Ste 200
San Tan Valley, AZ 85140
Phone (480) 684-3747

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

109 N Fairland St
Pryor, OK 74361
Phone (918) 825-1406

231 E Graham Ave
Pryor, OK 74361

Organizations & group practices 4

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1790141422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37200 N GANTZEL RD STE 200",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407385",
            "telephone_number": "888-374-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37200 N GANTZEL RD STE 200",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407385",
            "telephone_number": "888-374-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "NICOLE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1300",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "16003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.