Active NPI
Amy Pulitzer, MA, LPC, MFT
- Mental Health Counselor
- Manzanita, OR
National Provider Identifier
1508106766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2941
- Practice address
- 181 Laneda Ave.
Manzanita, OR 97130 - Phone
- (503) 272-1599
- NPI assigned
- Feb 26, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2941 | OR | Primary |
| Mental Health Counselor | 101YM0800X | 50956 | CA |
Addresses
Primary practice location
181 Laneda Ave.
Manzanita, OR 97130
Mailing address
PO Box 29
Manzanita, OR 97130-0029
Phone (818) 212-0091
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2941 | OR | MD | Mental Health Counselor |
| 50956 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1508106766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "MANZANITA",
"state": "OR",
"postal_code": "971300029",
"telephone_number": "818-212-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 LANEDA AVE.",
"city": "MANZANITA",
"state": "OR",
"postal_code": "97130",
"telephone_number": "503-272-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULITZER",
"first_name": "AMY",
"credential": "MA, LPC, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2941",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "50956",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manzanita, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.