Active NPI
Paul Delbert Otto, LMFT
- Counselor
- Saint Johns, AZ
National Provider Identifier
1437213659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LMFT10251
- Practice address
- 470 W. Cleveland
Saint Johns, AZ 85936-0579 - Phone
- (928) 337-4301
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | LMFT10251 | AZ | Primary |
Addresses
Primary practice location
470 W. Cleveland
Saint Johns, AZ 85936-0579
Mailing address
PO Box 579
Saint Johns, AZ 85936-0579
Phone (928) 337-4301
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT10251 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Colorado Behavioral Health Center 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Saint Johns, AZ
- NPI 1134292485
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437213659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "859360579",
"telephone_number": "928-337-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 W. CLEVELAND",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "859360579",
"telephone_number": "928-337-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "PAUL",
"middle_name": "DELBERT",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LMFT10251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johns, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.