NPIMap

Organization Active NPI

Alliance Counseling Center

  • Clinical Social Worker
  • Nogales, AZ
National Provider Identifier
1245504927
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW13060 Issued in AZ
Legal business name
ALLIANCE COUNSELING CENTER
Practice address
1790 N Mastick Way
Suite a
Nogales, AZ 85621-1135
Phone
(520) 281-0009
Fax
(520) 281-0009
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Patricia R. Bruce, DBH, LCSW, LISACNPI 1346426921
Title
Clinical Director
Phone
(520) 281-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LISAC10240 AZ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC11949 AZ
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW13060 AZ Primary

Addresses

Primary practice location

1790 N Mastick Way
Suite a
Nogales, AZ 85621-1135

Mailing address

1790 N Mastick Way
Suite a
Nogales, AZ 85621-1135
Phone (520) 281-0009

Other names 1

  • None Other name

National Provider Directory

National Provider Directory

Locations

1790 N Mastick Way
Ste A
Nogales, AZ 85621
Phone (520) 281-0009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1245504927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N MASTICK WAY",
            "address_2": "SUITE A",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211135",
            "telephone_number": "520-281-0009",
            "fax_number": "520-281-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N MASTICK WAY",
            "address_2": "SUITE A",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211135",
            "telephone_number": "520-281-0009",
            "fax_number": "520-281-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "520-281-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, LCSW, LISAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC10240",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC11949",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW13060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.