Active NPI
Michael Lynn Utley, M.A.
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1265642003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12394
- Practice address
- 7216 S Millers Tale Dr
Tucson, AZ 85706-8659 - Phone
- (520) 574-9169
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12394 | AZ | Primary |
| Professional Counselor | 101YP2500X | 2535 | CO |
Addresses
Primary practice location
7216 S Millers Tale Dr
Tucson, AZ 85706-8659
Mailing address
7216 S Millers Tale Dr
Tucson, AZ 85706-8659
Phone (520) 574-9169
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12394 | AZ | MD | Professional Counselor |
| 2535 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265642003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7216 S MILLERS TALE DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857068659",
"telephone_number": "520-574-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7216 S MILLERS TALE DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857068659",
"telephone_number": "520-574-9169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTLEY",
"first_name": "MICHAEL",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "12394",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2535",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, 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.