Individual provider Active NPI

Daniel Christopher Paisano, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1194535542
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23570 Issued in AZ
Practice address
5055 E Broadway Blvd Ste C104
Tucson, AZ 85711-3641
Phone
(520) 623-9833
NPI assigned
Jan 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 LPC-23570 AZ Primary

Addresses

Primary practice location

5055 E Broadway Blvd Ste C104
Tucson, AZ 85711-3641

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

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
I20250205002881 AZ Practitioner - Mental Health Counselor 8921538992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23570AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Health Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Intermountain Centers for Human Development Inc. Current Accepting new patients
Intermountain Centers for Human Development Inc. CurrentSince Dec 1, 2024 Accepting new patients
Intermountain Health Center Inc Current Accepting new patients

Locations

994 S Harrison Rd
Tucson, AZ 85748
Phone (520) 539-5091

5055 E Broadway Blvd
Ste C104
Tucson, AZ 85711
Phone (520) 623-9833

Interoperability endpoints

  • Direct secure messaging: daniel.paisano.p1@direct.cpi.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1194535542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE C104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113641",
            "telephone_number": "520-623-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISANO",
        "first_name": "DANIEL",
        "middle_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.