AMANDA D FETZNER
NPI 1437660479
Counselor - Professional in Show Low, AZ

Active since October 17, 2017PECOS Enrolled
2650 E SHOW LOW LAKE RD STE 1, SHOW LOW, AZ 85901(928) 537-4300(928) 537-4320 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2025, Dec 2, 2024, Oct 17, 2017 (3 updates tracked since 2017).

About Amanda D Fetzner NPPES

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

AMANDA D FETZNER (NPI 1437660479) is an individual professional provider in Show Low, Arizona, licensed in Arizona (LPC-23383) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437660479
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA D FETZNER
Location Address2650 E SHOW LOW LAKE RD STE 1Show Low, AZ 85901-7955
Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 522-9879
Fax(928) 537-4320
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 17, 2017
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1437660479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LPC-23383
2650 E SHOW LOW LAKE RD STE 1, Show Low, AZ 85901

Other Names 1

Professional Name (2)Andi Fetzner Andi Fetzner Lpc

Secondary Practice Location 1

Location 14425 N 24th St, 150Phoenix, AZ 85016 · Phone (480) 267-7256

Accepted 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)

Amanda D Fetzner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496243990
PECOS Enrollment IDI20251024001877
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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Nurse Practitioner (Family)
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Nurse Practitioner
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Nurse Practitioner
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Marriage & Family Therapist
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Dentist
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Dental Hygienist
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Fetzner's NPI number?

The NPI number for Amanda Fetzner is 1437660479. It was assigned to this individual provider in the NPPES registry on October 17, 2017. The provider is also known as Andi Fetzner Andi Fetzner Lpc.

Where is Amanda Fetzner located?

Amanda Fetzner practices at 2650 E Show Low Lake Rd Ste 1, Show Low, AZ 85901. The listed phone number is (928) 537-4300.

What is Amanda Fetzner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Fetzner enrolled in Medicare?

Yes. Amanda Fetzner is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Fetzner accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Amanda Fetzner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Fetzner was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.