Active NPI
Andrea Christine Avalos, LAC-T
- Mental Health Counselor
- Mesa, AZ
National Provider Identifier
1942996251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-24566
- Practice address
- 1122 S Greenfield Rd
Mesa, AZ 85206-2633 - Phone
- (928) 487-0835
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-24566 | AZ | Primary |
Addresses
Primary practice location
1122 S Greenfield Rd
Mesa, AZ 85206-2633
Mailing address
7728 E Farmdale Ave
Mesa, AZ 85208-5625
Phone (928) 487-0835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 23, 2026 through Feb 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-24566 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1942996251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7728 E FARMDALE AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852085625",
"telephone_number": "928-487-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 S GREENFIELD RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852062633",
"telephone_number": "928-487-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVALOS",
"first_name": "ANDREA",
"middle_name": "CHRISTINE",
"credential": "LAC-T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-24566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.