Individual provider Active NPI

Jane St. Perre, LCSW

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1255815577
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW10827 Issued in AZ
Practice address
1955 W Grant Rd Ste 125P
Tucson, AZ 85745-1471
Phone
(520) 429-3673
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW10827 AZ Primary

Addresses

Primary practice location

1955 W Grant Rd Ste 125P
Tucson, AZ 85745-1471

Mailing address

1955 W Grant Rd Ste 125P
Tucson, AZ 85745-1471
Phone (520) 429-3673

Other practice location 1

7801 E Kenyon Dr
Tucson, AZ 85710-4266
Phone (520) 429-3673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW10827AZMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1255815577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W GRANT RD STE 125P",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451471",
            "telephone_number": "520-429-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W GRANT RD STE 125P",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451471",
            "telephone_number": "520-429-3673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 E Kenyon Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857104266",
            "country_code": "US",
            "telephone_number": "520-429-3673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. PERRE",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW10827",
            "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 Sep 21, 2018; 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.