IndividualActive
Nathan Mitchell, LAC
NPI 1497021828 · Mental Health Counselor · Mesa, AZ
Provider details
- NPI number
- 1497021828
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- License
- LAC-13733 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1424 S Stapley Dr
Mesa, AZ 85204-5877
Phone: (480) 892-7403
Fax: (480) 892-6701
Street-level locationGet directions
Mailing address
1424 S Stapley Dr
Mesa, AZ 85204-5877
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2012-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.