Active NPI
Daniel Christopher Paisano, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1194535542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-23570
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-23570 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Health Center, Inc. | Current | Accepting new patients | |
| Intermountain Centers for Human Development Inc. | Current | Accepting new patients | |
| Intermountain Centers for Human Development Inc. | Current | 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
- daniel.paisano.p1@direct.cpi.nextgenshare.com
- 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.
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1487146171
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1083846661
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1578922670
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1609245273
-
- Community/Behavioral Health Agency
- Casa Grande, AZ
- NPI 1083315626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.