Individual provider Active NPI

Amy A. Schuten, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
National Provider Identifier
1669642682
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-10975 Issued in AZ
Practice address
1930 S Alma School Rd
Suite A208
Mesa, AZ 85210-3064
Phone
(480) 838-5550
Fax
(480) 756-8201
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10975 AZ Primary

Addresses

Primary practice location

1930 S Alma School Rd
Suite A208
Mesa, AZ 85210-3064

Mailing address

1930 S Alma School Rd
Suite A208
Mesa, AZ 85210-3064
Phone (480) 838-5550

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
LISAC-10975AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1669642682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE A208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-838-5550",
            "fax_number": "480-756-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE A208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-838-5550",
            "fax_number": "480-756-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTEN",
        "first_name": "AMY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.