Individual provider Active NPI

Katie Leigh Neudorff, LPC, LMHC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1831513753
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23046 Issued in AZ
Practice address
8621 N 48TH LN
Glendale, AZ 85302-5102
Phone
(425) 870-1583
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61048273 WA
Professional Counselor 101YP2500X LPC-23046 AZ Primary

Addresses

Primary practice location

8621 N 48TH LN
Glendale, AZ 85302-5102

Mailing address

8621 N 48TH LN
Glendale, AZ 85302-5102
Phone (425) 870-1583

Other practice location 1

307 N Olympic Ave Ste 203
Arlington, WA 98223-1351
Phone (425) 870-1583

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
LH61048273WAMDMental Health Counselor
LPC-23046AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar and Sage Therapy, PLLC Mental Health CurrentSince May 26, 2024 Accepting new patients
Beautiful Autism Mental Health PastSince Mar 1, 2020 Accepting new patients

Locations

307 N Olympic Ave
Ste 203
Arlington, WA 98223
Phone (360) 480-0693

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1831513753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 N 48TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025102",
            "telephone_number": "425-870-1583",
            "fax_number": "360-363-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8621 N 48TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025102",
            "telephone_number": "425-870-1583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N Olympic Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982231351",
            "country_code": "US",
            "telephone_number": "425-870-1583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUDORFF",
        "first_name": "KATIE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61048273",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.