Atiq Mirriam Shomar, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-13586 Issued in AZ

Practice address

10501 E Seven Generations Way Ste 121
Tucson, AZ 85747-5828

Phone

(520) 833-4290

Fax

(888) 972-9484

NPI assigned

Jun 9, 2011

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberation Counseling and Consulting

  • Counselor
  • Tucson, AZ
  • NPI 1427623701

  Mental Health

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1013202837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-833-4290",
            "fax_number": "888-972-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-833-4290",
            "fax_number": "888-972-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMAR",
        "first_name": "ATIQ",
        "middle_name": "MIRRIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2011-06-09",
        "last_updated": "2024-05-23",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-13586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Shochat, D.C.
• Aimee Shock, MD
• Dawn Shoemaker, FNP-BC
• Ryan Shoemaker, MS, CCC-SLP
• Arianna Sholes, M.D.
• Brian Y Shon, MD
• Benjamin A Shook, DPT
• Ellen Marie Shopes, CRNA
• Timothy J Short, DPM
• Joseph Patrick Shortall, DO

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.