Sara Rae Pondeca, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17079 Issued in AZ

Practice address

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254

Phone

(520) 584-5820

Fax

(520) 514-1514

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Rae Firkus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1164924908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011713",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E LAKESIDE PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301254",
            "telephone_number": "520-584-5820",
            "fax_number": "520-514-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDECA",
        "first_name": "SARA",
        "middle_name": "RAE",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FIRKUS",
            "middle_name": "RAE",
            "credential": "SARA RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Michael Ponce, LPC
• Yone Virginia Ponce, D.D.S.
• Anael Ponciano, PHARMD
• Marie Ann Pond, FNP-C, PMHNP-BC
• Patrick John Pond, PHARMD
• Victor Pondeca
• Pongratz Orthotics & Prosthetics, Inc
• Pongratz Orthotics & Prosthetics, Inc.
• Pontchartrain I Iup, LLC
• Pony Express Iup, LLC

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.