NPIMap

Organization Active NPI

Tucson Counseling Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1013545144
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TUCSON COUNSELING ASSOCIATES, LLC
Practice address
125 E Mabel St
Tucson, AZ 85705-6654
Phone
(520) 873-8633
NPI assigned
Apr 1, 2020
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Katherine KincaidNPI 1689094575
Title
Owner
Phone
(520) 873-8633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

125 E Mabel St
Tucson, AZ 85705-6654

Mailing address

125 E Mabel St
Tucson, AZ 85705-6654

Other practice location 1

6602 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 214-0818

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tucson

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211222001237 AZ Part B Supplier - Clinic/Group Practice 9032500285 Receives reassigned benefits from 13 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory
Tax ID family
Tucson Counseling Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6602 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 214-0818

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1013545144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MABEL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MABEL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056654",
            "telephone_number": "520-873-8633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6602 E Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102119",
            "country_code": "US",
            "telephone_number": "520-214-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCSON COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-873-8633"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "address_1": "125 E Mabel St",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857056654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.