Individual provider Active NPI

Suprit Gupta, LAMFT

  • Marriage & Family Therapist
  • Chandler, AZ
National Provider Identifier
1891502217
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT-10963 Issued in AZ
Practice address
208 W Chandler Heights Rd Ste 102
Chandler, AZ 85248-5065
Phone
(480) 687-1665
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-10963 AZ Primary

Addresses

Primary practice location

208 W Chandler Heights Rd Ste 102
Chandler, AZ 85248-5065

Mailing address

2674 E Warbler Rd
Gilbert, AZ 85297-8180
Phone (602) 321-9733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827004771 AZ Practitioner - Marriage and Family Therapist 9739680208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

208 W Chandler Heights Rd
Suite 102
Chandler, AZ 85248-5065

2674 E Warbler Rd
Gilbert, AZ 85297-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT-10963AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Counseling LLC Marriage & Family Therapist CurrentSince May 19, 2025 Accepting new patients

Locations

208 W Chandler Heights Rd
Ste 102
Chandler, AZ 85248
Phone (480) 687-1665

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1891502217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 E WARBLER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978180",
            "telephone_number": "602-321-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CHANDLER HEIGHTS RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485065",
            "telephone_number": "480-687-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUPRIT",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-10963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.