NPIMap

Organization Active NPI

Portable Practical Education Preparation, Inc

Doing business as PPEP Integrated Care

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1225135502
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSLG7856 Issued in AZ
Legal business name
PORTABLE PRACTICAL EDUCATION PREPARATION, INC
Doing business as
PPEP Integrated Care
Practice address
901 E 46TH St
Tucson, AZ 85713-5008
Phone
(520) 792-5704
Fax
(520) 792-5724
NPI assigned
Sep 20, 2006
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Dr. John David Arnold, PH.D
Title
Ceo/Founder
Phone
(520) 622-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSLG7856 AZ Primary

Addresses

Primary practice location

901 E 46TH St
Tucson, AZ 85713-5008

Mailing address

802 E 46TH St
Tucson, AZ 85713-5006
Phone (520) 622-3553

Other identifiers 1

IdentifierTypeStateIssuer
134958MedicaidAZ

Other names 1

  • PPEP Integrated Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Portable Practical Education Preparation Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 E 46th St
Tucson, AZ 85713
Phone (520) 594-6499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1225135502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E 46TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135006",
            "telephone_number": "520-622-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 46TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135008",
            "telephone_number": "520-792-5704",
            "fax_number": "520-792-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE PRACTICAL EDUCATION PREPARATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "520-622-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "CSLG7856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134958",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPEP Integrated Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2016; 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.