Active NPI
Josephine Zutell
- School Counselor
- Prescott Valley, AZ
National Provider Identifier
1124157045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- LFMFT0131
- Practice address
- 8766 East Hwy 69
Humboldt Unified School District # 22 Special Services
Prescott Valley, AZ 86314 - Phone
- (928) 759-4028
- Fax
- (928) 759-4030
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | LFMFT0131 | AZ | Primary |
Addresses
Primary practice location
8766 East Hwy 69
Humboldt Unified School District # 22 Special Services
Prescott Valley, AZ 86314
Mailing address
8660 Live Oak Drive
Prescott, AZ 86305
Phone (928) 778-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 777708 | Medicaid | AZ |
Other names 1
- Mrs. Jo Zutell
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LFMFT0131 | AZ | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124157045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8660 LIVE OAK DRIVE",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-778-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8766 EAST HWY 69",
"address_2": "HUMBOLDT UNIFIED SCHOOL DISTRICT # 22 SPECIAL SERVICES",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-759-4028",
"fax_number": "928-759-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUTELL",
"first_name": "JOSEPHINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "LFMFT0131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777708",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JO",
"last_name": "ZUTELL",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.