NPIMap

Organization Active NPI

Myriad Counseling and Consulting, LLC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1093180309
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MYRIAD COUNSELING AND CONSULTING, LLC
Practice address
4525 E Skyline Dr
Suite 114
Tucson, AZ 85718-1666
Phone
(520) 395-5277
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Lisa Goldstone, MS, PHARMDNPI 1215262902
Title
Co-Owner
Phone
(520) 395-5277

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Pharmacotherapy PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P1200X
Psychiatric PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P1300X

Addresses

Primary practice location

4525 E Skyline Dr
Suite 114
Tucson, AZ 85718-1666

Mailing address

4525 E Skyline Dr
Suite 114
Tucson, AZ 85718-1666

National Provider Directory

National Provider Directory

Locations

4525 E Skyline Dr
Ste 114
Tucson, AZ 85718
Phone (520) 395-5277

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1093180309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E SKYLINE DR",
            "address_2": "SUITE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E SKYLINE DR",
            "address_2": "SUITE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181666",
            "telephone_number": "520-395-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAD COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "GOLDSTONE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "520-395-5277",
        "authorized_official_credential": "MS, PHARMD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Psychiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.