John Gutierrez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0695 Issued in AZ

Practice address

477 E Broadway Road
Apache Junction, AZ 85219

Phone

(480) 983-0562

Fax

(480) 983-0635

NPI assigned

Jun 16, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Health and Wellness, Inc.

  • Professional Counselor
  • Globe, AZ
  • NPI 1205931987
  NPD (past)
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oracle, AZ
  • NPI 1710366737
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1659508844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852173160",
            "telephone_number": "480-983-0065",
            "fax_number": "480-983-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BROADWAY ROAD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "85219",
            "telephone_number": "480-983-0562",
            "fax_number": "480-983-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "0695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AND MEDICARE PENDING",
            "identifier": "LCSW 0695",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Greer, LASAC
• Mary Elizabeth Griffin, LPN
• Grubb Med
• Mary Joyce Grubb, FNP-C
• Amie Leih Guerra, LAC
• Megan Amber Haden, FNP-C
• Hallmark Behavioral Health @ Lago, LLC
• Kelly Haltorp
• Hand Up Guiding Services LLC
• Hoda E. Hannallah, M.D.

• Clinical Social Worker in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.