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PHILLIP R LAZENBY
NPI 1912565540
Counselor - Professional in Soldotna, AK

Active since May 29, 2019PECOS Enrolled
245 N BINKLEY ST, SOLDOTNA, AK 99669(907) 714-4521(907) 260-4063 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2021, Nov 16, 2020, May 29, 2019 (3 updates tracked since 2019).

About Phillip R Lazenby NPPES

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

PHILLIP R LAZENBY (NPI 1912565540) is an individual professional provider in Soldotna, Alaska, licensed in Alaska (132467) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912565540
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePHILLIP R LAZENBY
Location Address245 N BINKLEY STSoldotna, AK 99669-7500
Mailing AddressPo Box 2127Soldotna, AK 99669-2127 · (907) 398-1161
Phone(907) 714-4521
Fax(907) 260-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 29, 2019
Last NPPES UpdateJuly 27, 20213 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1912565540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 132467
Also ListedCounselorTaxonomy 101Y00000X · License 132467 (AK)
245 N BINKLEY ST, Soldotna, AK 99669
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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)

Phillip R Lazenby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779074349
PECOS Enrollment IDI20251112003840
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 13

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

MR. ALEXANDER BREVARD RUSSELL, JR MD
Pediatrics
245 N BINKLEY ST, SUITE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111
CENTRAL PENINSULA GENERAL HOSPITAL INC
General Acute Care Hospital (Rural)
245 N BINKLEY ST, SUITE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4101
MRS. RICHELLE GRZADZINSKI RN
Registered Nurse (Addiction (Substance Use Disorder))
245 N BINKLEY ST
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4521
EMILY GRACE SALIGA MD
Family Medicine
245 N BINKLEY ST
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111
DR. RACHEL V WALDEN M.D.
Pediatrics
245 N BINKLEY ST, SUITE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111
ANGELINE DOVE DELGADO LPC
Counselor (Professional)
245 N BINKLEY ST
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4521
MARGUERITE MCINTOSH MD
Family Medicine
245 N BINKLEY ST
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4521
PATRICIA MILLS MERWIN LCSW, MAC, CDC II
Social Worker (Clinical)
245 N BINKLEY ST
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4614

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 Phillip Lazenby's NPI number?

The NPI number for Phillip Lazenby is 1912565540. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Phillip Lazenby located?

Phillip Lazenby practices at 245 N Binkley St, Soldotna, AK 99669. The listed phone number is (907) 714-4521.

What is Phillip Lazenby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Phillip Lazenby enrolled in Medicare?

Yes. Phillip Lazenby is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Lazenby accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Phillip Lazenby 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 Phillip Lazenby was last updated on July 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.