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LAJUANA EBONY MARY MITCHELL LPC
NPI 1760917553
Counselor - Professional in Phoenix, AZ

Active since April 29, 2017PECOS Enrolled
4802 E RAY RD STE 23-266, PHOENIX, AZ 85044(602) 620-5507(602) 491-2677 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2025, Mar 30, 2021, Feb 1, 2021 and 8 more (11 updates tracked since 2017).

About Lajuana Ebony Mary Mitchell Lpc NPPES

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

LAJUANA EBONY MARY MITCHELL LPC (NPI 1760917553) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-16755) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1760917553
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAJUANA EBONY MARY MITCHELLCredential: LPC
Location Address4802 E RAY RD STE 23-266Phoenix, AZ 85044-6405
Mailing Address4802 E Ray Rd Suite 23-266Phoenix, AZ 85044-0620 · (602) 620-5507 · Fax (602) 491-2677
Phone(602) 620-5507
Fax(602) 491-2677
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 29, 2017
Last NPPES UpdateFebruary 4, 202511 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1760917553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in AZ · LPC-16755✔ Licensed in MI · 6401013734
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC16755 (AZ), 6401013734 (MI)
4802 E RAY RD STE 23-266, Phoenix, AZ 85044
Open in Google Maps ↗

Other Identifiers 1

Medicaid277387AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lajuana Ebony Mary Mitchell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507364221
PECOS Enrollment IDI20250812002513
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

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

FIT4 AN EMPOWERED LIFE LLC
Community/Behavioral Health
4802 E RAY RD STE 23-266
PHOENIX, AZ 85044
Maricopa County (313) 590-5253

Frequently Asked Questions

What is Lajuana Mitchell's NPI number?

The NPI number assigned to this healthcare provider is 1760917553, enumerated as an "individual" on April 29, 2017.

Where is the provider located?

The provider is located at 4802 E RAY RD STE 23-266 PHOENIX, AZ 85044 and the phone number is (602) 620-5507.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Lajuana Mitchell accept?

The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company,. Please consult your insurance carrier or call the provider to verify.