Elizabeth M Beutter

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sonora, CA

NPI 1417207481 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1417207481
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
105 Hospital Rd
Sonora, CA 95370-4618
Phone
(209) 533-6245
Fax
(209) 533-7007
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
110431CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tuolumne Past
since Aug 11, 2019
Accepting new patients
County of Tuolumne Past
since May 7, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 110431 CA
Marriage & Family Therapist 106H00000X 110431 CA
Student in an Organized Health Care Education/Training Program 390200000X Yes
Counselor 101Y00000X
Mental Health Counselor 101YM0800X CA

Addresses

Primary practice location

105 Hospital Rd
Sonora, CA 95370-4618

Mailing address

2 S. Green St.
Sonora, CA 95370-4618
Phone (209) 533-6245

Other names

  • Elizabeth M Van Note Former name

Other providers in Sonora, CA

All providers in Sonora, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.