Active NPI
Katie Leigh Neudorff, LPC, LMHC
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1831513753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-23046
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH61048273 | WA | MD | Mental Health Counselor |
| LPC-23046 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar and Sage Therapy, PLLC | Mental Health | Current | Accepting new patients |
| Beautiful Autism | Mental Health | Past | 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.
-
- Mental Health Counselor
- Glendale, AZ
- NPI 1811746076
-
- Mental Health Counselor
- Arlington, WA
- NPI 1841651585
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.