Individual provider Active NPI

Katie Marie Golbeck, LCSW

  • Clinical Social Worker
  • Fountain Hills, AZ
National Provider Identifier
1366614323
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15312 Issued in AZ
Practice address
13771 N Fountain Hills Blvd # 452
Fountain Hills, AZ 85268-3762
Phone
(480) 405-5159
NPI assigned
Mar 31, 2008
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X #CW016445 PA
Clinical Social Worker 1041C0700X 15312 AZ Primary
Clinical Social Worker 1041C0700X 149.013903 IL

Addresses

Primary practice location

13771 N Fountain Hills Blvd # 452
Fountain Hills, AZ 85268-3762

Mailing address

13771 N Fountain Hills Blvd # 452
Fountain Hills, AZ 85268-3762
Phone (480) 405-5159

Other identifiers 2

IdentifierTypeStateIssuer
209763MedicaidAZ
974695MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150102001532 AZ Practitioner - Clinical Social Worker 4880763168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16019 E Sunflower Dr
Unit 2
Fountain Hills, AZ 85268-3677
Phone (480) 405-5159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15312AZMDClinical Social Worker
149.013903ILMDClinical Social Worker
#CW016445PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Azure Counseling and Consulting PLLC Clinical CurrentSince Jul 28, 2023 Accepting new patients

Locations

13771 N Fountain Hills Blvd
#114452
Fountain Hills, AZ 85268

13771 N Fountain Hills Blvd
#452
Fountain Hills, AZ 85268
Phone (480) 405-5159

13771 N Fountain Hills Blvd
Ste 114
Fountain Hls, AZ 85268
Phone (602) 717-9858

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1366614323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13771 N FOUNTAIN HILLS BLVD # 452",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683762",
            "telephone_number": "480-405-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 N FOUNTAIN HILLS BLVD # 452",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683762",
            "telephone_number": "480-405-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBECK",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "#CW016445",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "15312",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209763",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974695",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.