Active NPI
Phyllis Marie Siebern, LPC
- Professional Counselor
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC14268
- Practice address
- 2435 N Castro Ave
Tucson, AZ 85705-5060 - Phone
- (520) 622-8030
- Fax
- (520) 622-8012
- NPI assigned
- Aug 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC14268 | AZ | Primary |
Addresses
Primary practice location
2435 N Castro Ave
Tucson, AZ 85705-5060
Mailing address
4012 S Lone Palm Dr
Tucson, AZ 85730-3821
Phone (520) 406-9714
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966
3104 E Camelback Rd
Suite 2937
Phoenix, AZ 85016-4502
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC14268 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.a. | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Psychiatry of Texas PLLC | Current | Accepting new patients |
Locations
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
4100 S Lindsay Rd
Ste 129
Gilbert, AZ 85297
Phone (718) 216-7002
3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
Organizations & group practices 4
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": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1326471871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 S LONE PALM DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857303821",
"telephone_number": "520-406-9714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 N CASTRO AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857055060",
"telephone_number": "520-622-8030",
"fax_number": "520-622-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBERN",
"first_name": "PHYLLIS",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC14268",
"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 Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.