Individual provider Active NPI

January Hartze, LPC

  • Counselor
  • Glendale, AZ
National Provider Identifier
1740851542
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-19924 Issued in AZ
Practice address
17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone
(602) 989-8899
Fax
(602) 900-0969
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-19924 AZ Primary

Addresses

Primary practice location

17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724

Mailing address

17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899

Other practice location 1

23460 N 19th Ave Ste 220
Phoenix, AZ 85027-2170
Phone (602) 989-8899

Other identifiers 2

IdentifierTypeStateIssuer
125011MedicaidAZ
1740851542OtherAZJANUARY HARTZE INDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240318000413 AZ Practitioner - Mental Health Counselor 5395182083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hartze, PLLC Counselor CurrentSince Jan 1, 2024 Accepting new patients
Healing Hartze, PLLC Counselor CurrentSince Sep 23, 2024 Accepting new patients

Locations

17505 N 79th Ave
Ste 105
Glendale, AZ 85308
Phone (602) 292-4477

23460 N 19th Ave
Ste 220
Phoenix, AZ 85027
Phone (602) 292-1862

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1740851542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23460 N 19th Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272170",
            "country_code": "US",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZE",
        "first_name": "JANUARY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-19924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125011",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANUARY HARTZE INDIVIDUAL NPI",
            "identifier": "1740851542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.