Active NPI
Marco Antonio Cuyar, MS, LPC, LISAC, NCC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1306832704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10810
- Practice address
- 1234 S Power Rd
Suite 201
Mesa, AZ 85206-3700 - Phone
- (480) 497-4720
- Fax
- (480) 284-7278
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10577 | AZ | |
| Professional Counselor | 101YP2500X | LPC-10810 | AZ | Primary |
Addresses
Primary practice location
1234 S Power Rd
Suite 201
Mesa, AZ 85206-3700
Mailing address
PO Box 14524
Mesa, AZ 85216-4524
Phone (480) 497-4720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831546 | Medicaid | AZ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10577 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-10810 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- marcocuyar@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1306832704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14524",
"city": "MESA",
"state": "AZ",
"postal_code": "852164524",
"telephone_number": "480-497-4720",
"fax_number": "480-284-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 S POWER RD",
"address_2": "SUITE 201",
"city": "MESA",
"state": "AZ",
"postal_code": "852063700",
"telephone_number": "480-497-4720",
"fax_number": "480-284-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUYAR",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"credential": "MS, LPC, LISAC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10577",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-10810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831546",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.