ANDREA CHRISTINE AVALOS LAC-T
NPI 1942996251
Counselor - Mental Health in Mesa, AZ

Active since April 11, 2023Opted out of Medicare · through Feb 23, 2028
1122 S GREENFIELD RD, MESA, AZ 85206(928) 487-0835 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrea Christine Avalos Lac-t NPPES

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

ANDREA CHRISTINE AVALOS LAC-T (NPI 1942996251) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LPC-24566) and active in the NPI registry since April 2023. She has opted out of Medicare through February 23, 2028.

NPPES Registry Identity

NPI1942996251
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA CHRISTINE AVALOSCredential: LAC-T
Location Address1122 S GREENFIELD RDMesa, AZ 85206-2633
Mailing Address7728 E Farmdale AveMesa, AZ 85208-5625 · (928) 487-0835
Sole ProprietorYes
Enumeration DateApril 11, 2023
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1942996251 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-24566
1122 S GREENFIELD RD, Mesa, AZ 85206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Andrea Christine Avalos Lac-t 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 February 23, 2026 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2026
Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Andrea Avalos's NPI number?

The NPI number for Andrea Avalos is 1942996251. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Andrea Avalos located?

Andrea Avalos practices at 1122 S Greenfield Rd, Mesa, AZ 85206. The listed phone number is (928) 487-0835.

What is Andrea Avalos's specialty?

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

Is Andrea Avalos enrolled in Medicare?

No. Andrea Avalos has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Avalos was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.