Individual provider Active NPI

Jessica Utter

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1912635228
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-24763 Issued in AZ
Practice address
8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone
(480) 674-9220
NPI assigned
Aug 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-24763 AZ Primary

Addresses

Primary practice location

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541

Mailing address

32 E Greentree Dr
Tempe, AZ 85284-3135
Phone (785) 338-0113

Other names 1

  • Jess Utter Other name

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
I20260512002560 AZ Practitioner - Mental Health Counselor 9537638275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8700 E Via de Ventura
Suite 280
Scottsdale, AZ 85258-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-24763AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC PastSince Sep 2, 2023 Accepting new patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients

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, 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": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1912635228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E GREENTREE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843135",
            "telephone_number": "785-338-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-674-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESS",
            "last_name": "UTTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.