Individual provider Active NPI

Andrea Lee Utzinger, M.S. L.M.H.C.

  • Mental Health Counselor
  • Ellensburg, WA
National Provider Identifier
1669512646
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010385 Issued in WA
Practice address
103 E 4TH Ave
Suite 200
Ellensburg, WA 98926-3189
Phone
(509) 962-6235
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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 LH00010385 WA Primary

Addresses

Primary practice location

103 E 4TH Ave
Suite 200
Ellensburg, WA 98926-3189

Mailing address

103 E 4TH Ave
Suite 200
Ellensburg, WA 98926-3189
Phone (509) 962-6235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2025 through Dec 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH00010385WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1669512646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 4TH AVE",
            "address_2": "SUITE 200",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263189",
            "telephone_number": "509-962-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 4TH AVE",
            "address_2": "SUITE 200",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263189",
            "telephone_number": "509-962-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTZINGER",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.S.  L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.