NPIMap

Organization Active NPI

Open Doors Counseling, Coaching and Consulting

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1861009938
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPEN DOORS COUNSELING, COACHING AND CONSULTING
Practice address
21640 N. 19TH Ave
Suite C9
Phoenix, AZ 85027
Phone
(602) 499-9952
Fax
(662) 434-3514
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Mrs. Kelly Elisabeth Gutowski, LCSWNPI 1497989495
Title
Ceo/Psychotherapist
Phone
(602) 499-9952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

21640 N. 19TH Ave
Suite C9
Phoenix, AZ 85027

Mailing address

21640 N. 19TH Avenue
Suite C9
Phoenix, AZ 85027
Phone (602) 499-9952

National Provider Directory

National Provider Directory
Tax ID family
Open Doors Counseling Coaching and Consulting3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21640 N 19th Ave
Ste C9
Phoenix, AZ 85027
Phone (602) 499-9952

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1861009938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21640 N. 19TH AVENUE",
            "address_2": "SUITE C9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "602-499-9952",
            "fax_number": "662-434-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21640 N. 19TH AVE",
            "address_2": "SUITE C9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "602-499-9952",
            "fax_number": "662-434-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOORS COUNSELING, COACHING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "GUTOWSKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "602-499-9952",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.