Individual provider Active NPI

Amanda Marie Gutierrez, B.S.

  • Mental Health Counselor
  • Bartlesville, OK
National Provider Identifier
1639466899
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
401 S Dewey Ave Ste 803C
Bartlesville, OK 74003-3514
Phone
(918) 907-0921
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

401 S Dewey Ave Ste 803C
Bartlesville, OK 74003-3514

Mailing address

401 S Dewey Ave Ste 803C
Bartlesville, OK 74003-3514
Phone (918) 907-0921

Other practice location 1

1516 S Boston Ave
Suite 1
Tulsa, OK 74119-4003
Phone (918) 561-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240112000464 OK Practitioner - Mental Health Counselor 5496003121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Improving Lives Counseling Services IncGroup PAC ID 3870818230, 32 clinicians

Practice addresses (Care Compare)

401 S Dewey Ave
Suite 803C
Bartlesville, OK 74003-3514
Phone (918) 907-0921

6216 S Lewis Ave
Suite 180
Tulsa, OK 74136-1077
Phone (918) 960-7852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Counseling Services, Inc. CurrentSince Apr 25, 2024 Accepting new patients
Mindful Hope, PLLC Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

Interoperability endpoints

  • Direct secure messaging: amanda.gutierrez.1@21171.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1639466899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S DEWEY AVE STE 803C",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033514",
            "telephone_number": "918-907-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S DEWEY AVE STE 803C",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033514",
            "telephone_number": "918-907-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 S Boston Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741194003",
            "country_code": "US",
            "telephone_number": "918-561-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.