The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coolidge and Arizona

2 active clinicians are listed under Counselor - Professional with a practice address in Coolidge, AZ (2,965 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-01

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AZ LPC-18971

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 102448

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES AZ LPC-18971

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Counselor (license number reported to NPPES: AZ LPC-18971)

📍

Updated Practice Location July 09, 2025

Registered at 229 W CENTRAL AVE UNIT 2107, COOLIDGE, AZ 851284850 (Tel: 5202167259)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2025

Counselor (license number reported to NPPES: AZ LPC-18971)

📍

Updated Practice Location July 20, 2021

Registered at 1022 E LAUREN LN, COOLIDGE, AZ 851289323 (Tel: 5207051492)

📍

Updated Business Mailing Address July 20, 2021

Registered at 1022 E LAUREN LN, COOLIDGE, AZ 851289323 (Tel: 5207051492)

✅

NPI Profile Active May 06, 2020

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) May 06, 2020

Registered at 5940 E COPPER HILL DR, PRESCOTT VALLEY, AZ 863142860 (Tel: 9285837799)

📍

Business Mailing Address (Initial Record) May 06, 2020

Registered at 5940 E COPPER HILL DR, PRESCOTT VALLEY, AZ 863142860 (Tel: 9285837799)

👤

Provider Name / Credentials (Initial Record) May 06, 2020

Recorded as AMANDA IRWIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2020

Counselor

🟢

Initial NPI Registration & Enumeration May 06, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073134524

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 06, 2020

Last Update: July 01, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1022 E Lauren Ln

Coolidge, AZ 851289323

Phone: 5207051492

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.