Clinton E Bartlett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-10644 Issued in AZ

Practice address

4300 N Miller Rd.,
Suite E-116-07
Scottsdale, AZ 85251

Phone

(602) 751-7414

NPI assigned

Nov 22, 2006

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Oasis Healing & Equestrian Center

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1780413500
  NPD Authorized official
• People Empowering People of Az Inc.

  • Community/Behavioral Health Agency
  • Apache Junction, AZ
  • NPI 1801072590
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1104991223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 E OASIS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139742",
            "telephone_number": "602-751-7414",
            "fax_number": "602-926-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N MILLER RD.,",
            "address_2": "SUITE E-116-07",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "602-751-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "CLINTON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Bartels, M.D. , F.A.C.O.G
• Christina V Barth, R.D.
• Jennifer Clarissa Barth, APRN-BC, FNP-C
• Nicole Thersa Bartko
• Suzanne Barbara Bartlett Hackenmiller, MD
• Jamie Lynn Bartlett, LPN
• Scott Bartlett, MSW, DCSW
• Crystal Ann Marie Barton, APRN, FNP-C
• Nancy Barton
• Alexandrea B Bartow, NP

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.