Individual provider Active NPI

Amanda Scott, BS, BHT

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1104665959
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
BS Issued in AZ
Practice address
23460 N 19TH Ave Ste 220
Phoenix, AZ 85027-2170
Phone
(602) 989-8899
Fax
(602) 900-0969
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BS AZ Primary

Addresses

Primary practice location

23460 N 19TH Ave Ste 220
Phoenix, AZ 85027-2170

Mailing address

17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899

Other practice location 1

17505 N 79th Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899

Other identifiers 3

IdentifierTypeStateIssuer
1740851542OtherAZJANUARY HARTZE NPI
1043982747OtherAZHEALING HARTZE ORGANIZATION NPI
125011MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
BSAZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hartze, PLLC Counselor CurrentSince May 26, 2024 Accepting new patients
Healing Hartze, PLLC Counselor CurrentSince Sep 23, 2024 Accepting new patients

Locations

17505 N 79th Ave
Ste 105
Glendale, AZ 85308
Phone (602) 292-4477

23460 N 19th Ave
Ste 220
Phoenix, AZ 85027
Phone (602) 292-1862

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1104665959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23460 N 19TH AVE STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272170",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17505 N 79th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088724",
            "country_code": "US",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "AMANDA",
        "credential": "BS, BHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "BS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANUARY HARTZE NPI",
            "identifier": "1740851542",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALING HARTZE ORGANIZATION NPI",
            "identifier": "1043982747",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125011",
            "state": "AZ"
        }
    ],
    "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 May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.