Organization Active NPI

Samhc Enterprises LLC Dba Elante Counseling Center

Doing business as Elante Counseling Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1235412867
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC6596 Issued in AZ
Legal business name
SAMHC ENTERPRISES LLC DBA ELANTE COUNSELING CENTER
Doing business as
Elante Counseling Center
Practice address
6280 E Pima St
Tucson, AZ 85712-3074
Phone
(520) 722-9155
Fax
(520) 722-0500
NPI assigned
Sep 20, 2011
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Stephanie Oliver, CPC, RMM, ICD10CT-CM
Title
Chief Quality Management Officer
Phone
(520) 628-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC6596 AZ Primary

Addresses

Primary practice location

6280 E Pima St
Tucson, AZ 85712-3074

Mailing address

2700 S 8TH Ave
Tucson, AZ 85713-4730
Phone (520) 628-3400

Other identifiers 2

IdentifierTypeStateIssuer
848949MedicaidAZ
OTC6596OtherAZSTATE LICENSE

Other names 1

  • Elante Counseling Center Doing business as

National Provider Directory

National Provider Directory
Part of
Pasadera Behavioral Health Network

Locations

6280 E Pima St
Tucson, AZ 85712
Phone (520) 329-1250

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1235412867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 8TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134730",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-722-9155",
            "fax_number": "520-722-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMHC ENTERPRISES LLC DBA ELANTE COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK",
        "enumeration_date": "2011-09-20",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848949",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC6596",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elante Counseling Center",
            "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 Aug 13, 2015; 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.