Individual provider Active NPI

Tina Dong, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1255005682
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19839 Issued in AZ
Practice address
4400 E Broadway Blvd Ste 600S
Tucson, AZ 85711-3554
Phone
(520) 261-1988
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-19839 AZ Primary

Addresses

Primary practice location

4400 E Broadway Blvd Ste 600S
Tucson, AZ 85711-3554

Mailing address

4400 E Broadway Blvd Ste 600S
Tucson, AZ 85711-3554
Phone (520) 261-1988

Other practice location 1

1161 N El Dorado Pl Ste 103
Tucson, AZ 85715-4607
Phone (520) 570-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000759 AZ Practitioner - Mental Health Counselor 9335591486 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pathways of Arizona LLCGroup PAC ID 3173718152, 6 clinicians

Practice addresses (Care Compare)

1161 N El Dorado PL
Tucson, AZ 85715-4607
Phone 520748710821460

4400 E Broadway Blvd
Suite 600S
Tucson, AZ 85711-3554
Phone (520) 675-7857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19839AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Arizona, LLC CurrentSince Jun 1, 2025 Accepting new patients
Pathways of Arizona, LLC CurrentSince Jun 1, 2025 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

3295 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 547-2062

1161 N El Dorado Pl
Ste 103
Tucson, AZ 85715
Phone (520) 748-7108

1161 N El Dorado Pl
Tucson, AZ 85715
Phone (520) 570-1460

3818 W 16th St
Yuma, AZ 85364
Phone (928) 317-0177

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1255005682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD STE 600S",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113554",
            "telephone_number": "520-261-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD STE 600S",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113554",
            "telephone_number": "520-261-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 N El Dorado Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857154607",
            "country_code": "US",
            "telephone_number": "520-570-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "TINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.