Individual provider Active NPI

Jane Frances Otstot, L.P.C.

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1275750267
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC10364 Issued in AZ
Practice address
4510 N 47TH Ave
Phoenix, AZ 85019-3206
Phone
(602) 336-2990
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC10364 AZ Primary

Addresses

Primary practice location

4510 N 47TH Ave
Phoenix, AZ 85019-3206

Mailing address

4510 N 37TH Ave
Phoenix, AZ 85019-3206
Phone (602) 336-2990

Other identifiers 1

IdentifierTypeStateIssuer
574146MedicaidAZ

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

LicenseStateTypeSpecialty
LPC10364AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Maricopa Past Accepting new patients

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275750267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 N 37TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850193206",
            "telephone_number": "602-336-2990",
            "fax_number": "602-336-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 N 47TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850193206",
            "telephone_number": "602-336-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTSTOT",
        "first_name": "JANE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC10364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574146",
            "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 Jul 9, 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.

Verify at the official NPI Registry.