Individual provider Active NPI

Cathy Carol Donnenwirth, LPC

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1104912179
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC0308 Issued in AZ
Practice address
4545 N 36TH St Ste 117
Phoenix, AZ 85018-3473
Phone
(602) 840-4499
NPI assigned
Oct 5, 2006
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC0308 AZ Primary

Addresses

Primary practice location

4545 N 36TH St Ste 117
Phoenix, AZ 85018-3473

Mailing address

4545 N 36TH St Ste 117
Phoenix, AZ 85018-3473
Phone (602) 840-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 26, 2024 through Mar 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC0308AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1104912179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183473",
            "telephone_number": "602-840-4499",
            "fax_number": "602-840-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183473",
            "telephone_number": "602-840-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNENWIRTH",
        "first_name": "CATHY",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC0308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.