Active NPI
Stacey E Tarquinio
- Mental Health Counselor
- Tucson, AZ
National Provider Identifier
1194841502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC - 10418
- Practice address
- 4121 E Calle Cambujo
Tucson, AZ 85712-6404 - Phone
- (520) 419-8338
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC - 10418 | AZ | Primary |
Addresses
Primary practice location
4121 E Calle Cambujo
Tucson, AZ 85712-6404
Mailing address
4121 E Calle Cambujo
Tucson, AZ 85712-6404
Phone (520) 419-8338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 734922 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2025 through Mar 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC - 10418 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1194841502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 E CALLE CAMBUJO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126404",
"telephone_number": "520-419-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 E CALLE CAMBUJO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126404",
"telephone_number": "520-419-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARQUINIO",
"first_name": "STACEY",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC - 10418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "734922",
"state": "AZ"
}
],
"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 Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.