Active NPI
Caitlyn Amstutz, MS, LAC
- Mental Health Counselor
- Surprise, AZ
National Provider Identifier
1780407999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-22194
- Practice address
- 18789 N Reems Rd Ste 260B
Surprise, AZ 85374-8648 - Phone
- (480) 420-7277
- NPI assigned
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-22194 | AZ | Primary |
Addresses
Primary practice location
18789 N Reems Rd Ste 260B
Surprise, AZ 85374-8648
Mailing address
18789 N Reems Rd Ste 260B
Surprise, AZ 85374-8648
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-22194 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1780407999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18789 N REEMS RD STE 260B",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18789 N REEMS RD STE 260B",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748648",
"telephone_number": "480-420-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMSTUTZ",
"first_name": "CAITLYN",
"credential": "MS, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-22194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
- Amazing Journeys Counseling, LLC
- Amedisys Arizona, L.L.C. (Amedisys Home Health)
- American Arthritis & Rheumatology Associates - Az PLLC
- American Oncology Partners, P.a. (Desert Hematology Oncology)
- Darius Keyveon Amos, RPH
- Matthew John Amundgaard, CHIROPRACTOR
- Mears M Amundson, LPC
- An Enchanted Assisted Living LLC
- An NP for Me LLC
- Anastasia Assisted Living Home LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.