Phyllis Otu, LSAT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LSAT-15163 Issued in AZ

Practice address

205 E Osborn Rd
Phoenix, AZ 85012-2327

Phone

(833) 445-3711

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Softlife Care LLC

  • Community/Behavioral Health Agency
  • El Mirage, AZ
  • NPI 1619866027
  NPD Authorized official
• Atr Integrated LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1952002214

  Addiction (Substance Use Disorder)

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1447082359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122327",
            "telephone_number": "833-445-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122327",
            "telephone_number": "833-445-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTU",
        "first_name": "PHYLLIS",
        "credential": "LSAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LSAT-15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Otterstein
• Shawn Kevin Otteson, DMD
• Otto Bock Orthopedic Services LLC
• Otto Bock Patient Care, LLC
• Mario Otto, M.D., PH.D.
• Jason Heng Ou, PA-C
• Denny Oul, LCSW
• Our Children Our Future LLC
• Our Children Our Future LLC
• Our Home of Unity LLC

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.