Teresa Canez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC12987 Issued in AZ

Practice address

32 Boulevard del Rey David
Nogales, AZ 85621-9667

Phone

(520) 287-4713

Fax

(520) 287-9794

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinal Hispanic CouncilGroup PAC ID 4981742434, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresa.canez.p1@direct.cpi.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinal Hispanic Council

  • Multi-Specialty Clinic/Center
  • Eloy, AZ
  • NPI 1235271404
  Medicare reassignment Care Compare group NPD
• Pinal Hispanic Council Incorporated

  • Multi-Specialty Clinic/Center
  • Coolidge, AZ
  • NPI 1194521914
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1356505093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BOULEVARD DEL REY DAVID",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856219667",
            "telephone_number": "520-287-4713",
            "fax_number": "520-287-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BOULEVARD DEL REY DAVID",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856219667",
            "telephone_number": "520-287-4713",
            "fax_number": "520-287-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEZ",
        "first_name": "TERESA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC12987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC12987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Denise Braun, DC
• Kathleen Jo Brown, RN
• James Butler, MD
• Patricia Abigail Caballero, MA, NCC, LPC
• Swilma P Campos, RN
• Carondelet Health Network (Holy Cross Hospital)
• Carondelet Medical Group, Inc
• Charles L Carr, PHD, LISAC
• Casbra Behavioral Health, Inc.
• Melinda Maricela Castillo, LISAC, AGS

• Professional Counselor in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.

Verify at the official NPI Registry.