Active NPI
Kantrast LLC
- Counselor
- Phoenix, AZ
National Provider Identifier
1043092109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- KANTRAST LLC
- Practice address
- 4323 N 12TH St Ste 103
Phoenix, AZ 85014-4506 - Phone
- (602) 781-2160
- Fax
- (602) 296-5691
- NPI assigned
- Oct 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Lugo
- Title
- Founder & Ceo
- Phone
- (602) 781-1313
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Chiropractor | 111N00000X | |||
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Acupuncturist | 171100000X | |||
| Health & Wellness Coach | 171400000X | |||
| Naturopath | 175F00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Dance Therapist | 225600000X | |||
| Massage Therapist | 225700000X | |||
| Recreation Therapist | 225800000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4323 N 12TH St Ste 103
Phoenix, AZ 85014-4506
Mailing address
PO Box 34053
Phoenix, AZ 85067-4053
Phone (602) 781-2160
National Provider Directory
National Provider DirectoryLocations
4323 N 12th St
Ste 103
Phoenix, AZ 85014
Phone (602) 781-2160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1043092109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34053",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850674053",
"telephone_number": "602-781-2160",
"fax_number": "602-296-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 N 12TH ST STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850144506",
"telephone_number": "602-781-2160",
"fax_number": "602-296-5691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANTRAST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "FOUNDER & CEO",
"authorized_official_telephone_number": "602-781-1313"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.