Individual provider Active NPI

Andrew Stravitz, LAMFT

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1639896194
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAMFT-10824 Issued in AZ
Practice address
4747 N 7TH St Ste 450
Phoenix, AZ 85014-3851
Phone
(602) 997-2880
NPI assigned
Oct 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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 LAMFT-10824 AZ Primary

Addresses

Primary practice location

4747 N 7TH St Ste 450
Phoenix, AZ 85014-3851

Mailing address

734 W Moreland St
Phoenix, AZ 85007-2119
Phone (480) 250-2786

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://doorwaysarizona.com/

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

State licenses

LicenseStateTypeSpecialty
LAMFT-10824AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Ministries Inc Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1639896194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 W MORELAND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072119",
            "telephone_number": "480-250-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143851",
            "telephone_number": "602-997-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAVITZ",
        "first_name": "ANDREW",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAMFT-10824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doorwaysarizona.com/",
            "affiliation": "N",
            "address_1": "4747 N 7th St Ste 450",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850143851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.