Active NPI
Heather King
- Mental Health Counselor
- Tucson, AZ
National Provider Identifier
1356636039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LISAC-10490
- Practice address
- 504 W 29TH St
Tucson, AZ 85713-3353 - Phone
- (520) 838-5600
- Fax
- (520) 792-0654
- NPI assigned
- Jun 10, 2011
- Last updated
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LISAC-10490 | AZ | Primary |
Addresses
Primary practice location
504 W 29TH St
Tucson, AZ 85713-3353
Mailing address
504 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 838-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10490 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafrontera Center Inc | Past | Accepting new patients | |
| La Frontera Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1932404225
-
- Methadone Clinic
- Tucson, AZ
- NPI 1548361470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1356636039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 W 29TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857133353",
"telephone_number": "520-838-5600",
"fax_number": "520-792-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 W 29TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857133353",
"telephone_number": "520-838-5600",
"fax_number": "520-792-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LISAC-10490",
"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 Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.