Individual provider Active NPI

Tara Ann Catanzaro, MA, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1164015541
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19622 Issued in AZ
Practice address
1616 E Indian School Rd
Phoenix, AZ 85016-8601
Phone
(602) 761-4912
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19622 AZ Primary

Addresses

Primary practice location

1616 E Indian School Rd
Phoenix, AZ 85016-8601

Mailing address

1830 S Alma School Rd Ste 101
Mesa, AZ 85210-3086

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
I20240320004086 AZ Practitioner - Mental Health Counselor 1153768544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3240 E Union Hills Dr
Suite 107
Phoenix, AZ 85050-2618
Phone (602) 529-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Az Holistic Approach Professional CurrentSince Nov 13, 2024 Accepting new patients
Teris Health Services LLC Professional Current Accepting new patients
Teri's Health Services CurrentSince Mar 20, 2024 Accepting new patients
Sage Counseling, Inc. Past Accepting new patients
Oceanbee Wellness, LLC Professional PastSince Dec 8, 2024 Accepting new patients

Locations

7205 S 51st Ave
Ste 203
Laveen, AZ 85339
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

3240 E Union Hills Dr
Ste 107
Phoenix, AZ 85050
Phone (602) 529-1967

Organizations & group practices 5

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1164015541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168601",
            "telephone_number": "602-761-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANZARO",
        "first_name": "TARA",
        "middle_name": "ANN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "19622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.