Mamta Gupta, MC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC1623 Issued in AZ

Practice address

1730 S Jentilly LN
Tempe, AZ 85281-5715

Phone

(480) 784-4644

Fax

(480) 460-8011

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780794271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16847 S 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850450718",
            "telephone_number": "480-784-4644",
            "fax_number": "480-460-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S JENTILLY LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815715",
            "telephone_number": "480-784-4644",
            "fax_number": "480-460-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MAMTA",
        "name_prefix": "Mrs.",
        "credential": "MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC1623",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LPC1623",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC1623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guiding Light Wellness Center Inc.
• Sean Guimond, PHARM.D.
• Kimberlee Gull, COTA
• Amy Gulledge, PT, DPT, CSCS
• Karen Jean Gundersen-Goff
• Thomas R Gussie, LAC
• Mary A Gustafson, RN, BSN
• Jessica Alexis Gutierrez Ortiz, LPN
• Adylia Gutierrez
• Victoria Nicole Gutierrez

• Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.