Individual provider Active NPI

Miguelangel C Federico Hassan, M.PSY., LPC, ACEP

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1346664604
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18498 Issued in AZ
Practice address
4880 E 29TH St
#17203
Tucson, AZ 85711
Phone
(520) 444-7521
Fax
(954) 656-9317
NPI assigned
Feb 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-18498 AZ
Professional Counselor 101YP2500X LPC46.003104 CT
Psychologist 103T00000X LPC46.003104 CT
Professional Counselor 101YP2500X LPC-18498 AZ Primary
Mental Health Counselor 101YM0800X LPC46.003104 CT

Addresses

Primary practice location

4880 E 29TH St
#17203
Tucson, AZ 85711

Mailing address

1580 N Kolb Rd Ste 200
Tucson, AZ 85715-4933
Phone (520) 302-4954

Other practice location 1

2224 N Craycroft Rd Ste 100
Tucson, AZ 85712-2811
Phone (520) 896-1400

Other practice location 2

4880 E 29th St
#17203
Tucson, AZ 85711
Phone (520) 444-7521

Other identifiers 4

IdentifierTypeStateIssuer
12766971OtherCAQH
008071926MedicaidCT
LPC-3104OtherCTCT DPH
LPC-18498OtherAZAZ BBHE

Other names 1

  • Miguel C. Federico Hassan Professional name

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
I20250418001631 AZ Practitioner - Mental Health Counselor 3577796184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escalera Health LLCGroup PAC ID 1951650985, 55 clinicians

Practice addresses (Care Compare)

2224 N Craycroft Rd
Suite 100
Tucson, AZ 85712-2811
Phone (520) 209-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18498AZMDProfessional Counselor
LPC46.003104CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Escalera Health LLC CurrentSince May 5, 2025 Accepting new patients

Locations

2224 N Craycroft Rd
Ste 100
Tucson, AZ 85712
Phone (520) 209-1919

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1346664604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N KOLB RD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154933",
            "telephone_number": "520-302-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 E 29TH ST",
            "address_2": "#17203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-444-7521",
            "fax_number": "954-656-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 N Craycroft Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122811",
            "country_code": "US",
            "telephone_number": "520-896-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4880 E 29th St",
            "address_2": "#17203",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85711",
            "country_code": "US",
            "telephone_number": "520-444-7521",
            "fax_number": "954-656-9317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDERICO HASSAN",
        "first_name": "MIGUELANGEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.PSY., LPC, ACEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18498",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "LPC46.003104",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "LPC46.003104",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18498",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "LPC46.003104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12766971",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008071926",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT DPH",
            "identifier": "LPC-3104",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BBHE",
            "identifier": "LPC-18498",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIGUEL",
            "last_name": "FEDERICO HASSAN",
            "middle_name": "C.",
            "credential": "M.PSY., LPC, CCATP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.