NPIMap

Organization Active NPI

La Frontera Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1093810889
Registry record updated Jul 12, 2024
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
LA FRONTERA CENTER, INC.
Practice address
502 W 29TH St
Tucson, AZ 85713-3394
Phone
(520) 884-9920
Fax
(520) 792-0654
NPI assigned
Sep 14, 2006
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Kathy Wells
Title
Evp/Coo
Phone
(520) 838-5501

Specialties & licenses 1

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

Addresses

Primary practice location

502 W 29TH St
Tucson, AZ 85713-3394

Mailing address

504 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 838-5600

Other identifiers 2

IdentifierTypeStateIssuer
OTC6260OtherAZBH LICENSE
603843MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115001022 AZ Part B Supplier - Clinic/Group Practice 0648171330 Receives reassigned benefits from 36 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
La Frontera Center30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

1135 N Jones Blvd
Tucson, AZ 85716
Phone (520) 206-8600

260 S Scott Ave
Tucson, AZ 85701
Phone (520) 884-8470

Interoperability endpoints

  • Direct secure messaging: deanmckenzie@lfcenter.netsmartdirect.net
  • Direct secure messaging: ellenmcvay@lfcenter.netsmartdirect.net
  • Direct secure messaging: erichbrueschke@lfcenter.netsmartdirect.net
  • Direct secure messaging: jamesmcglamery@lfcenter.netsmartdirect.net
  • Direct secure messaging: janeackerley@lfcenter.netsmartdirect.net
  • Direct secure messaging: janicehanlon-toth@lfcenter.netsmartdirect.net
  • Direct secure messaging: juliaherrington@lfcenter.netsmartdirect.net
  • Direct secure messaging: maryfuller-fougerousse@lfcenter.netsmartdirect.net
  • Direct secure messaging: robertcicarell@lfcenter.netsmartdirect.net
  • Direct secure messaging: susansehn@lfcenter.netsmartdirect.net
  • Direct secure messaging: veeraiahkarumanchi@lfcenter.netsmartdirect.net
  • Direct secure messaging: violetbaruti@lfcenter.netsmartdirect.net
  • Direct secure messaging: williamadamas-rappaport@lfcenter.netsmartdirect.net

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1093810889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-838-5600",
            "fax_number": "520-792-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133394",
            "telephone_number": "520-884-9920",
            "fax_number": "520-792-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FRONTERA CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-07-12",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EVP/COO",
        "authorized_official_telephone_number": "520-838-5501"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BH LICENSE",
            "identifier": "OTC6260",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603843",
            "state": "AZ"
        }
    ],
    "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 Jul 12, 2024; 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.