Active NPI
Jeannie Mehl, MA, LPC
- Professional Counselor
- Prescott, AZ
National Provider Identifier
1992882104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC10124
- Practice address
- 501 Karen Dr
Prescott, AZ 86303-5425 - Phone
- (928) 778-7958
- Fax
- (928) 778-3464
- NPI assigned
- Nov 1, 2006
- Reactivated
- Aug 27, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC10124 | AZ | Primary |
Addresses
Primary practice location
501 Karen Dr
Prescott, AZ 86303-5425
Mailing address
PO Box 3862
Prescott, AZ 86302
Phone (928) 778-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 15, 2026 through Jun 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC10124 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1992882104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3862",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86302",
"telephone_number": "928-778-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 KAREN DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863035425",
"telephone_number": "928-778-7958",
"fax_number": "928-778-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHL",
"first_name": "JEANNIE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"deactivation_date": "2025-03-12",
"reactivation_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC10124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.