Amy Christine Bednarski, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-16721 Issued in AZ

Practice address

17100 N 67TH Ave Ste 400
Glendale, AZ 85308-3698

Phone

(602) 362-8383

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Christine Bartlett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Integrative Psychotherapy and Assessment Services

  • Psychologist
  • Phoenix, AZ
  • NPI 1699146910
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1790240752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083698",
            "telephone_number": "602-362-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083698",
            "telephone_number": "602-362-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 W Bethany Home Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850151935",
            "country_code": "US",
            "telephone_number": "602-774-4745",
            "fax_number": "623-205-6515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNARSKI",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BARTLETT",
            "middle_name": "CHRISTINE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David H Beck, P.A.C.
• Bradley K Becker, D.O., P.C.
• Gregory M Becker, DDS
• Lia Violet Becktold, M.ED., BCBA
• Catherine Beckwith, OTR/L
• Phillip Bedonie
• Bedrock Midwifery & Wellness, LLC
• Gina Mary Beeman, LPN
• Elham Behbodi, MD
• Thomas Behles

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.