AMY CHRISTINE BEDNARSKI MA, LPC
NPI 1790240752
Counselor - Professional in Glendale, AZ

Q: What is Amy Bednarski's NPI number?

The NPI number for Amy Bednarski is 1790240752. It was assigned to this individual provider in the NPPES registry on February 4, 2019. The provider is also known as Amy Christine Bartlett Ma.

Q: What is Amy Bednarski's specialty?

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

Q: Is Amy Bednarski enrolled in Medicare?

No. Amy Bednarski has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amy Bednarski was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2019Opted out of Medicare · through Jan 9, 2028

17100 N 67TH AVE STE 400, GLENDALE, AZ 85308(602) 362-8383 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Feb 4, 2019 (2 updates tracked since 2019).

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About Amy Christine Bednarski Ma, Lpc NPPES

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

AMY CHRISTINE BEDNARSKI MA, LPC (NPI 1790240752) is an individual professional provider in Glendale, Arizona, licensed in Arizona (LPC-16721) and active in the NPI registry since February 2019. She has opted out of Medicare through January 9, 2028 and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1790240752

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMY CHRISTINE BEDNARSKICredential: MA, LPC

Location Address17100 N 67TH AVE STE 400Glendale, AZ 85308-3698

Mailing Address17100 N 67th Ave Ste 400Glendale, AZ 85308-3698 · (602) 362-8383

Phone(602) 362-8383

Sole ProprietorNo

Enumeration DateFebruary 4, 2019

Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1790240752 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-16721

17100 N 67TH AVE STE 400, Glendale, AZ 85308

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Other Names 1

Former Name (1)Amy Christine Bartlett Ma

Secondary Practice Location 1

Location 12102 W Bethany Home RdPhoenix, AZ 85015-1935 · Phone (602) 774-4745 · Fax (623) 205-6515

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Christine Bednarski Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024

Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

TARA ROBIN

Counselor (Mental Health)