Ernestina S Buck, PHD
Individual provider Active NPI Professional Counselor · Bisbee, AZ
NPI 1245544162 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1245544162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-1608 (AZ)
- Practice address
- 33 Subway St
Bisbee, AZ 85603 - Phone
- (520) 227-3695
- Fax
- (855) 568-6439
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-1608 | AZ | Yes |
Addresses
Primary practice location
33 Subway St
Bisbee, AZ 85603
Mailing address
PO Box 4171
Bisbee, AZ 85603-4171
Phone (520) 227-3695
Other providers in Bisbee, AZ
- Bisbee Unified School District
- Pamela Rose Blunt
- Boys & Girls Club of Bisbee,Az,Inc
- Brave Path Counseling PLLC
- Julia M Brown
- Shadd Nathan Cabalatungan
- Phyllis Cavanaugh
- Nicole M. Chavez
- Chiricahua Community Health Centers, Inc
- Chiricahua Community Health Centers, Inc
All providers in Bisbee, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.