Individual provider Active NPI

Frank Paul Pallavicini II, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1093731259
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18005 Issued in AZ
Practice address
40 N Swan Rd Ste 118
Tucson, AZ 85711-3019
Phone
(602) 358-7073
NPI assigned
Jul 14, 2006
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MH2815 FL
Professional Counselor 101YP2500X LPC-18005 AZ Primary
Mental Health Counselor 101YM0800X MH2815 FL

Addresses

Primary practice location

40 N Swan Rd Ste 118
Tucson, AZ 85711-3019

Mailing address

40 N Swan Rd Ste 118
Tucson, AZ 85711-3019
Phone (602) 358-7073

Other identifiers 2

IdentifierTypeStateIssuer
003386200MedicaidFL
767965300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250428002889 AZ Practitioner - Mental Health Counselor 6901322486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH2815FLMDMental Health Counselor
LPC-18005AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Apr 18, 2025 Accepting new patients
Oceanbee Wellness, LLC Professional PastSince Dec 8, 2024 Accepting new patients
Teri's Health Services Past Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

3501 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 833-5171

3501 E Speedway Blvd
Ste 351
Tucson, AZ 85716
Phone (520) 540-2723

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1093731259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N SWAN RD STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113019",
            "telephone_number": "602-358-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N SWAN RD STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113019",
            "telephone_number": "602-358-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAVICINI",
        "first_name": "FRANK",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "MH2815",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18005",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003386200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767965300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.