Lajuana Ebony Mary Mitchell, LPC - Medicare Counselor in Phoenix, AZ

Lajuana Ebony Mary Mitchell, LPC is a medicare enrolled "Counselor - Professional" provider in Phoenix, Arizona. Her current practice location is 4802 E Ray Rd Ste 23-266, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 620-5507.

Lajuana Ebony Mary Mitchell is licensed to practice in Arizona (license number LPC-16755) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760917553.

Contact Information

Lajuana Ebony Mary Mitchell, LPC
4802 E Ray Rd Ste 23-266,
Phoenix, AZ 85044-6405
(602) 620-5507
(602) 491-2677

Map and Direction


Healthcare Provider's Profile

Full NameLajuana Ebony Mary Mitchell
GenderFemale
SpecialityCounselor - Professional
Location4802 E Ray Rd Ste 23-266, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760917553
  • Provider Enumeration Date: 04/29/2017
  • Last Update Date: 02/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507364221
  • Enrollment ID: I20250812002513

Medical Identifiers

Medical identifiers for Lajuana Ebony Mary Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760917553NPI-NPPES
277387MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC16755 (Arizona)Secondary
101YM0800XCounselor - Mental Health 6401013734 (Michigan)Secondary
101YP2500XCounselor - Professional 6401013734 (Michigan)Secondary
101YP2500XCounselor - Professional LPC-16755 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lajuana Ebony Mary Mitchell allows following entities to bill medicare on her behalf.
Entity NameParamount Behavioral Health Services PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366941361
PECOS PAC ID: 4880957463
Enrollment ID: O20180412001364

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lajuana Ebony Mary Mitchell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lajuana Ebony Mary Mitchell, LPC
4802 E Ray Rd Suite 23-266,
Phoenix, AZ 85044-0620

Ph: (602) 620-5507
Lajuana Ebony Mary Mitchell, LPC
4802 E Ray Rd Ste 23-266,
Phoenix, AZ 85044-6405

Ph: (602) 620-5507

Reviews and Comments


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Phone: 480-744-2006    Fax: 480-744-2006
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Phone: 844-646-3247    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.