Individual provider Active NPI

Catherine Fennie, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1043092265
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-22545 Issued in AZ
Practice address
6280 E Pima St Ste 100
Tucson, AZ 85712-3074
Phone
(520) 329-1250
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-22545 AZ Primary

Addresses

Primary practice location

6280 E Pima St Ste 100
Tucson, AZ 85712-3074

Mailing address

6280 E Pima St Ste 100
Tucson, AZ 85712-3074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829002434 AZ Practitioner - Mental Health Counselor 0547709958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22545AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Cope Community Services, Inc. Professional CurrentSince Jun 17, 2024 Accepting new patients
Cope Community Services, Inc. PastSince Jun 17, 2024 Accepting new patients

Locations

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

660 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 519-8540

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1043092265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-329-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIE",
        "first_name": "CATHERINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.