Active NPI
Aviva Children'S Services
- Community/Behavioral Health Agency
- Tucson, AZ
National Provider Identifier
1326385899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AVIVA CHILDREN'S SERVICES
- Practice address
- 153 S Plumer Ave
Tucson, AZ 85719-6300 - Phone
- (520) 327-6779
- Fax
- (520) 327-6052
- NPI assigned
- Jan 3, 2013
- Organization subpart
- Yes
- Parent organization
- EASTER SEALS BLAKE FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marissa S Arendt, MAFM, MBA, CHC, CFE
- Title
- Cfo
- Phone
- (520) 327-1529
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
153 S Plumer Ave
Tucson, AZ 85719-6300
Mailing address
153 S Plumer Ave
Tucson, AZ 85719-6300
Phone (520) 327-6779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042622 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- Easter Seals Blake Foundation
Locations
153 S Plumer Ave
Tucson, AZ 85719
Phone (520) 310-5425
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tucson, AZ
- NPI 1396992566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627948800000",
"number": "1326385899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 S PLUMER AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857196300",
"telephone_number": "520-327-6779",
"fax_number": "520-327-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 S PLUMER AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857196300",
"telephone_number": "520-327-6779",
"fax_number": "520-327-6052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVIVA CHILDREN'S SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EASTER SEALS BLAKE FOUNDATION",
"enumeration_date": "2013-01-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A",
"authorized_official_last_name": "ARENDT",
"authorized_official_first_name": "MARISSA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "520-327-1529",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MAFM, MBA, CHC, CFE"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042622",
"state": "AZ"
}
],
"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 Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.