Active NPI
Tujuan Novel Netters, LAMFT
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1356958185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAMFT-10565
- Practice address
- 7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266 - Phone
- (513) 850-2782
- NPI assigned
- Sep 25, 2020
- 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 | LAMFT-10565 | AZ | |
| Mental Health Counselor | 101YM0800X | LAMFT-10565 | AZ | Primary |
Addresses
Primary practice location
7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266
Mailing address
229 E Harvard Dr
Tempe, AZ 85283-1844
Phone (623) 451-4961
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 |
|---|---|---|---|
| LAMFT-10565 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1356958185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 E HARVARD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831844",
"telephone_number": "623-451-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 N 16TH ST STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205266",
"telephone_number": "513-850-2782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTERS",
"first_name": "TUJUAN",
"middle_name": "NOVEL",
"credential": "LAMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LAMFT-10565",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAMFT-10565",
"primary": true
}
],
"identifiers": [],
"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 Sep 25, 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.