Active NPI
Marina J Palmer
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1235775198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18480
- Practice address
- 10501 E Seven Generations Way Ste 205
Tucson, AZ 85747-5828 - Phone
- (520) 664-6929
- NPI assigned
- Nov 25, 2019
- Last updated
- Nov 25, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18480 | AZ | Primary |
Addresses
Primary practice location
10501 E Seven Generations Way Ste 205
Tucson, AZ 85747-5828
Mailing address
PO Box 951
Vail, AZ 85641-0951
Phone (520) 664-6919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18480 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1235775198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 951",
"city": "VAIL",
"state": "AZ",
"postal_code": "856410951",
"telephone_number": "520-664-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 E SEVEN GENERATIONS WAY STE 205",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857475828",
"telephone_number": "520-664-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "MARINA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "18480",
"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 Nov 25, 2019; 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.