Individual provider Active NPI

Deseret Lauree Lazarte, LAMFT, LAC

  • Mental Health Counselor
  • Bentonville, AR
National Provider Identifier
1801775689
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2410006 Issued in AR
Practice address
1002 McClain Rd Ste A110
Bentonville, AR 72712-6737
Phone
(402) 981-1650
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A2410006 AR Primary

Addresses

Primary practice location

1002 McClain Rd Ste A110
Bentonville, AR 72712-6737

Mailing address

2405 SW Hampton Ave
Bentonville, AR 72713-3202
Phone (402) 981-1650

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

State licenses

LicenseStateTypeSpecialty
A2410006ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1801775689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SW HAMPTON AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727133202",
            "telephone_number": "402-981-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MCCLAIN RD STE A110",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126737",
            "telephone_number": "402-981-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARTE",
        "first_name": "DESERET",
        "middle_name": "LAUREE",
        "credential": "LAMFT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2410006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.