Raquel Mickelson LPC LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

RAQUEL MICKELSON LPC LLC

Practice address

510 E Cherry Ave
Flagstaff, AZ 86001-4711

Phone

(928) 225-5429

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Raquel Mickelson, LPCNPI 1669007043

Title

Owner/Counselor

Phone

(928) 225-5429

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raquel Ann Mickelson

  • Mental Health Counselor
  • Flagstaff, AZ
  • NPI 1669007043
  NPD Authorized official

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1871220988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1703",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860021703",
            "telephone_number": "928-225-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CHERRY AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014711",
            "telephone_number": "928-225-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL MICKELSON LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "928-225-5429",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669007043",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "raquel.mickelson@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "510 E Cherry Ave",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860014711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryce Aldworth Randall, CRNA
• Stephen Randazzo, NP
• Curtis Glen Randolph, LPC
• Matthew Randolph, DO
• Natalie Randolph, DBH, LCSW
• Aaron Alan Rasband, LPC
• Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP
• Erin Rasmussen, ACNPC-AG
• Joe Rauschenbach
• Bidisha Ray, MD

• Public Health or Welfare Agency in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Public Health or Welfare Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.