Individual provider Active NPI

Derek Reece, MSW, LMSW

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1124678594
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMSW-17205 Issued in AZ
Practice address
3129 E 2ND St
Tucson, AZ 85716-4209
Phone
(520) 603-2627
NPI assigned
Sep 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMSW-17205 AZ Primary

Addresses

Primary practice location

3129 E 2ND St
Tucson, AZ 85716-4209

Mailing address

7632 E Fair Meadows Loop
Tucson, AZ 85756-6151
Phone (520) 603-2627

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

State licenses

LicenseStateTypeSpecialty
LMSW-17205AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Behavioral Health Foundation Mental Health CurrentSince Dec 21, 2021 Accepting new patients
Heritage Behavioral Health Services, LLC Mental Health CurrentSince Feb 23, 2020 Accepting new patients
Altera Vita LLC Mental Health PastSince Sep 25, 2019 Accepting new patients

Locations

3129 E 2nd St
Tucson, AZ 85716
Phone (520) 276-7698

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1124678594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 E FAIR MEADOWS LOOP",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857566151",
            "telephone_number": "520-603-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 E 2ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164209",
            "telephone_number": "520-603-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "DEREK",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-17205",
            "primary": true
        }
    ],
    "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 Sep 17, 2019; 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.