Individual provider Active NPI

Andrew Bautz, MA, LMFT

  • Marriage & Family Therapist
  • North Webster, IN
National Provider Identifier
1275970998
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001966A Issued in IN
Practice address
225 North Main Street
Suite 5
North Webster, IN 46555
Phone
(574) 834-1393
Fax
(574) 834-1205
NPI assigned
Jun 4, 2013
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001966A IN Primary

Addresses

Primary practice location

225 North Main Street
Suite 5
North Webster, IN 46555

Mailing address

PO Box 751
North Webster, IN 46555-0751
Phone (574) 834-1393

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

LicenseStateTypeSpecialty
35001966AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Inc. Counselor 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1275970998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "NORTH WEBSTER",
            "state": "IN",
            "postal_code": "465550751",
            "telephone_number": "574-834-1393",
            "fax_number": "574-834-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NORTH MAIN STREET",
            "address_2": "SUITE 5",
            "city": "NORTH WEBSTER",
            "state": "IN",
            "postal_code": "46555",
            "telephone_number": "574-834-1393",
            "fax_number": "574-834-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTZ",
        "first_name": "ANDREW",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Webster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.