Individual provider Active NPI

Phyllis Marie Siebern, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1326471871
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC14268 Issued in AZ
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

Updated by the provider on Aug 19, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110005166 AZ Practitioner - Mental Health Counselor 5395196653 Reassigns benefits to 4 organizations

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
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

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

LicenseStateTypeSpecialty
LPC14268AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.a. CurrentSince Jan 1, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 1, 2026 Accepting new patients
Psychiatry of Texas PLLC CurrentSince Jan 15, 2026 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

Verify at the official NPI Registry.