Organization Active NPI

De Novo Wellness Center

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1386170033
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 15271 Issued in AZ
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

Updated by the provider on May 2, 2017

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC 14085 AZ
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC 13260 AZ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.