Stephane Christian Ackermann, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-18394 Issued in AZ

Practice address

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

Phone

(520) 329-1250

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cathexis Tucson, LLC

  dba Cathexis

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1558808543
  Medicare reassignment NPD
• Cathexis Tucson, LLC

  dba Cathexis

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1033505300
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1093357253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123637",
            "telephone_number": "520-429-4580"
        },
        {
            "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": "ACKERMANN",
        "first_name": "STEPHANE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tushar Acharya, M.D.
• Achieve Builds Confidence Inc.
• Melody Acker
• Jane Ellen Ackerley, DNP
• Mary Beth Ackerley
• Tamilyn A Ackerson
• Don Acomb, DDS
• Acosta Smile
• Belinda Jaquez Acosta, FNP
• Celinda Jonet Acosta, CCC-SLP

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.