ALEXANDER TAI NELSON LAC
NPI 1164108668
Counselor in Scottsdale, AZ

Q: What is Alexander Nelson's NPI number?

The NPI number for Alexander Nelson is 1164108668. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Q: What is Alexander Nelson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Nelson was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 27, 2023PECOS Enrolled

8585 E HARTFORD DR STE 103, SCOTTSDALE, AZ 85255(480) 562-6600(480) 562-6606 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexander Tai Nelson Lac NPPES

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

ALEXANDER TAI NELSON LAC (NPI 1164108668) is an individual counselor in Scottsdale, Arizona, licensed in Arizona (LAC-22267) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164108668

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameALEXANDER TAI NELSONCredential: LAC

Location Address8585 E HARTFORD DR STE 103Scottsdale, AZ 85255-5472

Mailing Address2433 W Main StMesa, AZ 85201-7801 · (724) 944-8298

Phone(480) 562-6600

Fax(480) 562-6606

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 27, 2023

Last NPPES UpdateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1164108668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LAC-22267

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

8585 E HARTFORD DR STE 103, Scottsdale, AZ 85255

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Secondary Practice Locations 2

Location 18985 E Bell RdScottsdale, AZ 85260-1573 · Phone (724) 944-8298

Location 234975 N North Valley Pkwy Ste 152Phoenix, AZ 85086-4032 · Phone (724) 944-8298

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Tai Nelson Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921581521

PECOS Enrollment IDI20260311004290

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL D WRIGHT PA-C

Nurse Practitioner (Psychiatric/Mental Health)