Individual provider Active NPI

Nola Domenici, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1275424046
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-24052 Issued in AZ
Practice address
6280 E Pima St
Tucson, AZ 85712-3074
Phone
(520) 333-5630
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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-24052 AZ Primary

Addresses

Primary practice location

6280 E Pima St
Tucson, AZ 85712-3074

Mailing address

5541 E Waverly St
Tucson, AZ 85712-3734
Phone (307) 259-6396

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
I20251113003557 AZ Practitioner - Mental Health Counselor 2466943899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cathexis Tucson LLCGroup PAC ID 6800154543, 3 clinicians

Practice addresses (Care Compare)

6280 E Pima St
Suite 100
Tucson, AZ 85712-3074
Phone (520) 329-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-24052AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cathexis Tucson, LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

6280 E Pima St
Ste 100
Tucson, AZ 85712
Phone (520) 329-1250

Organizations & group practices 1

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1275424046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 E WAVERLY ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123734",
            "telephone_number": "307-259-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-333-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENICI",
        "first_name": "NOLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.