Individual provider Active NPI

Kosheda Vanette Butler, LAC

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1841083227
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-23522 Issued in AZ
Practice address
7033 E Greenway Pkwy Ste 120
Scottsdale, AZ 85254-2075
Phone
(480) 567-9771
Fax
(480) 567-9771
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-23522 AZ Primary

Addresses

Primary practice location

7033 E Greenway Pkwy Ste 120
Scottsdale, AZ 85254-2075

Mailing address

7033 E Greenway Pkwy Ste 120
Scottsdale, AZ 85254-2075
Phone (480) 567-9771

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
LAC-23522AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Psychological Associates CurrentSince Jun 3, 2025 Accepting new patients

Locations

7033 E Greenway Pkwy
Ste 120
Scottsdale, AZ 85254
Phone (480) 567-9771

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1841083227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E GREENWAY PKWY STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542075",
            "telephone_number": "480-567-9771",
            "fax_number": "480-567-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 E GREENWAY PKWY STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542075",
            "telephone_number": "480-567-9771",
            "fax_number": "480-567-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KOSHEDA",
        "middle_name": "VANETTE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-23522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.