EZRA LAVINSKY LLC
NPI 1285476010
Counselor - Mental Health in Prescott, AZ

Active since June 11, 2024Opted out of Medicare · through May 26, 2028
1579 W GURLEY ST, PRESCOTT, AZ 86305(928) 713-3658 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ezra Lavinsky Llc NPPES

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

EZRA LAVINSKY LLC (NPI 1285476010) is an individual mental health provider in Prescott, Arizona, licensed in Arizona (LPC-22856) and active in the NPI registry since June 2024. He has opted out of Medicare through May 26, 2028.

NPPES Registry Identity

NPI1285476010
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEZRA LAVINSKYCredential: LLC
Location Address1579 W GURLEY STPrescott, AZ 86305-2829
Mailing Address4656 E Cheshire LoopPrescott Valley, AZ 86314-0086 · (928) 499-1951
Sole ProprietorYes
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1285476010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LPC-22856
1579 W GURLEY ST, Prescott, AZ 86305

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ezra Lavinsky Llc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 26, 2026 through May 26, 2028.

Opt-Out Effective DateMay 26, 2026
Opt-Out In Effect ThroughMay 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
1579 W GURLEY ST
PRESCOTT, AZ 86305

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 Ezra Lavinsky's NPI number?

The NPI number for Ezra Lavinsky is 1285476010. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Ezra Lavinsky located?

Ezra Lavinsky practices at 1579 W Gurley St, Prescott, AZ 86305. The listed phone number is (928) 713-3658.

What is Ezra Lavinsky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ezra Lavinsky enrolled in Medicare?

No. Ezra Lavinsky has opted out of Medicare through May 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ezra Lavinsky accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Ezra Lavinsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ezra Lavinsky was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.