CALEB LICHTENBERGER PMHNP-BC
NPI 1194415695
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Caleb Lichtenberger's NPI number?

The NPI number for Caleb Lichtenberger is 1194415695. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Caleb Lichtenberger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 09, 2023PECOS Enrolled

16620 N 40TH ST STE E1, PHOENIX, AZ 85032(602) 464-9576(602) 626-8901 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, May 9, 2023 (2 updates tracked since 2023).

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About Caleb Lichtenberger Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB LICHTENBERGER PMHNP-BC (NPI 1194415695) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (290462) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194415695

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCALEB LICHTENBERGERCredential: PMHNP-BC

Location Address16620 N 40TH ST STE E1Phoenix, AZ 85032-3357

Mailing Address16620 N 40th St Ste E1Phoenix, AZ 85032-3357 · (602) 464-9576 · Fax (602) 626-8901

Phone(602) 464-9576

Fax(602) 626-8901

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 9, 2023

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1194415695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 290462

16620 N 40TH ST STE E1, Phoenix, AZ 85032

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Lichtenberger Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981061454

PECOS Enrollment IDI20230530000939

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ADLIN MORALES AGUILU LCSW

Social Worker (Clinical)