Active NPI
Samuel Utz
- Counselor
- Pittsfield, MA
National Provider Identifier
1336545979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 106 Wendell Ave
Pittsfield, MA 01201-6930 - Phone
- (413) 344-8234
- Fax
- (413) 961-5056
- NPI assigned
- Nov 10, 2014
- Last updated
- Jan 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
106 Wendell Ave
Pittsfield, MA 01201-6930
Mailing address
PO Box 3642
Pittsfield, MA 01202-3642
Phone (413) 344-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250303000180 | MA | Practitioner - Mental Health Counselor | 3476074808 | Practice locations: Pittsfield, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1336545979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3642",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012023642",
"telephone_number": "413-344-8234",
"fax_number": "413-961-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WENDELL AVE",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016930",
"telephone_number": "413-344-8234",
"fax_number": "413-961-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTZ",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
- Ucp of Western Massachusetts Inc
- Ucp of Western Massachusetts Inc (Northern Berkshire Early Intervention)
- United at Home Inc. (United At Home)
- United Cerebral Palsy of Berkshire County (UCP of Western Massachusetts Inc)
- Hilery Gaurang Upadhyay, MBBS
- Katlyn Vachula, PA-C
- Kannichamy Vaishnhavi, MD
- Betsy K Valade, D.O
- Erika L Valenzuela, PA-C
- Debra Vall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.