Active NPI
De Novo Wellness Center
- Mental Health Counselor
- Tucson, AZ
National Provider Identifier
1386170033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 15271
- Legal business name
- DE NOVO WELLNESS CENTER
- Practice address
- 7400 N Oracle Rd
Suite 172
Tucson, AZ 85704-6331 - Phone
- (520) 400-4349
- NPI assigned
- May 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Somayeh Shunk, M.S.
- Title
- Therapist
- Phone
- (520) 400-4349
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 14085 | AZ | |
| Counselor | 101Y00000X | LPC 13260 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC 15271 | AZ | Primary |
Addresses
Primary practice location
7400 N Oracle Rd
Suite 172
Tucson, AZ 85704-6331
Mailing address
7400 N Oracle Rd
Suite 172
Tucson, AZ 85704-6331
National Provider Directory
National Provider DirectoryLocations
7400 N Oracle Rd
Ste 172
Tucson, AZ 85704
Phone (520) 400-4349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493683200000",
"number": "1386170033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 N ORACLE RD",
"address_2": "SUITE 172",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857046331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 N ORACLE RD",
"address_2": "SUITE 172",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857046331",
"telephone_number": "520-400-4349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE NOVO WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A",
"authorized_official_last_name": "SHUNK",
"authorized_official_first_name": "SOMAYEH",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "520-400-4349",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "AZ",
"license": "LPC 14085",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "AZ",
"license": "LPC 13260",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC 15271",
"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 May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.