Individual provider Active NPI

Sandra Marie Nagy, MA, LISAC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
National Provider Identifier
1104068329
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC 11660 Issued in AZ
Practice address
110 S Church Ave
Ste 2070
Tucson, AZ 85701-1608
Phone
(520) 419-5358
Fax
(520) 903-0309
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC 11660 AZ Primary
Mental Health Counselor 101YM0800X LAC11923 AZ

Addresses

Primary practice location

110 S Church Ave
Ste 2070
Tucson, AZ 85701-1608

Mailing address

1239 S Joey PL
Tucson, AZ 85713-1158
Phone (520) 419-5358

Other names 1

  • Mrs. Sandra Marie Winn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LISAC 11660AZMDAddiction (Substance Use Disorder) Counselor
LAC11923AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Counseling Associates, PLLC Past Accepting new patients
Cactus Counseling Associates Past Accepting new patients

Organizations & group practices 2

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1104068329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 S JOEY PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857131158",
            "telephone_number": "520-419-5358",
            "fax_number": "520-327-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S CHURCH AVE",
            "address_2": "STE 2070",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011608",
            "telephone_number": "520-419-5358",
            "fax_number": "520-903-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LISAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC 11660",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC11923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WINN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MA, LISAC, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 16, 2009; 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.