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HAVASU BEHAVIORAL HEALTH, LLC
NPI 1033764097
Social Worker - Clinical in Lake Havasu City, AZ

Active since August 07, 2019
1695 MESQUITE AVE STE 216, LAKE HAVASU CITY, AZ 86403(928) 453-0404 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Jun 1, 2023, Aug 7, 2019 (3 updates tracked since 2019).

About Havasu Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVASU BEHAVIORAL HEALTH, LLC (NPI 1033764097) is a healthcare organization registered as a clinical in Lake Havasu City, Arizona and active in the NPI registry since August 2019. The organization lists Kimberly Walker, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1033764097
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHAVASU BEHAVIORAL HEALTH, LLC
Location Address1695 MESQUITE AVE STE 216Lake Havasu City, AZ 86403-5688
Mailing Address1695 Mesquite Ave Ste 216Lake Havasu City, AZ 86403-5688 · (928) 453-0404 · Fax (928) 855-2778
Phone(928) 453-0404
Organization SubpartNo
Authorized OfficialKimberly WalkerLcsw · (928) 453-0404
Enumeration DateAugust 7, 2019
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1033764097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
1695 MESQUITE AVE STE 216, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Havasu Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Havasu Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Larry Lumpkin, LCSW LISAC
Clinical Social Worker
NPI 1922023621
1695 MESQUITE AVE STE 216
Lake Havasu City, AZ 86403
(928) 453-0404
✔ PECOS✔ Accepts MedicareSame address
Kimberly Walker
Clinical Social Worker
NPI 1215622931
1695 MESQUITE AVE STE 216
Lake Havasu City, AZ 86403
(928) 453-0404
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havasu Behavioral Health, LLC's NPI number?

The NPI number for Havasu Behavioral Health, LLC is 1033764097. It was assigned to this organization in the NPPES registry on August 7, 2019.

Where is Havasu Behavioral Health, LLC located?

Havasu Behavioral Health, LLC is located at 1695 Mesquite Ave Ste 216, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-0404.

What is Havasu Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Havasu Behavioral Health, LLC enrolled in Medicare?

Yes. Havasu Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Havasu Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Havasu Behavioral Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Havasu Behavioral Health, LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.