MARK D MANSFIELD MC, LAC
NPI 1952879520
Counselor - Mental Health in Phoenix, AZ

Active since November 12, 2018PECOS EnrolledAccepts Medicare Assignment
15820 N 35TH AVE STE 14, PHOENIX, AZ 85053(602) 859-9169 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2022, Nov 12, 2018 (2 updates tracked since 2018).

About Mark D Mansfield Mc, Lac NPPES

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

MARK D MANSFIELD MC, LAC (NPI 1952879520) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-20544) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1952879520
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK D MANSFIELDCredential: MC, LAC
Location Address15820 N 35TH AVE STE 14Phoenix, AZ 85053-7608
Mailing Address5139 E Tano StPhoenix, AZ 85044-4120 · (480) 241-8119
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 12, 2018
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1952879520 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-20544
15820 N 35TH AVE STE 14, Phoenix, AZ 85053

Secondary Practice Location 1

Location 13303 E Baseline Rd Ste 109Gilbert, AZ 85234-2739 · Phone (480) 278-5290

Other Identifiers 1

OtherLPC-20544AZ · Az Board Of Behavioral Health

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark D Mansfield Mc, Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113362542
PECOS Enrollment IDI20240508002481
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 5

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

Community/Behavioral Health
15820 N 35TH AVE STE 14
PHOENIX, AZ 85053
Behavior Analyst
15820 N 35TH AVE STE 14
PHOENIX, AZ 85053
Community/Behavioral Health
15820 N 35TH AVE STE 14
PHOENIX, AZ 85053
Counselor
15820 N 35TH AVE STE 14
PHOENIX, AZ 85053
Nurse Practitioner (Psychiatric/Mental Health)
15820 N 35TH AVE STE 14
PHOENIX, AZ 85053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952879520, enumerated as an "individual" on November 12, 2018.

The provider is located at 15820 N 35TH AVE STE 14 PHOENIX, AZ 85053 and the phone number is (602) 859-9169.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.