Individual provider Active NPI

Merielle D Robinson, MC, LPC

  • Counselor
  • Tucson, AZ
National Provider Identifier
1396808457
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC2225 Issued in AZ
Practice address
2030 E Broadway Blvd
Suite 15
Tucson, AZ 85719-5905
Phone
(520) 907-4789
NPI assigned
Dec 19, 2006
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC2225 AZ Primary

Addresses

Primary practice location

2030 E Broadway Blvd
Suite 15
Tucson, AZ 85719-5905

Mailing address

10366 E Ravenswood St
Tucson, AZ 85747-5956
Phone (520) 907-4789

Other practice location 1

153 S Plumer Ave
Tucson, AZ 85719-6300
Phone (520) 327-6779

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
I20240311003234 AZ Practitioner - Mental Health Counselor 7012396195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

4653 E Pima St
Tucson, AZ 85712-3437
Phone (520) 326-6182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC2225AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation CurrentSince Jan 1, 2024 Accepting new patients
Easter Seals Blake Foundation CurrentSince Jan 1, 2024 Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients
Easter Seals Blake Foundation PastSince Feb 25, 2024 Accepting new patients

Locations

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 260-5529

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6303 N 7TH St
Phoenix, AZ 85014

618 S Central Ave
Safford, AZ 85546
Phone (928) 362-7343

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

7756 E Broadway Blvd
Ste C100
Tucson, AZ 85710
Phone 52032715297108

3860 W 24th St
Ste 201
Yuma, AZ 85364

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1396808457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10366 E RAVENSWOOD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475956",
            "telephone_number": "520-907-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E BROADWAY BLVD",
            "address_2": "SUITE 15",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195905",
            "telephone_number": "520-907-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 S Plumer Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857196300",
            "country_code": "US",
            "telephone_number": "520-327-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MERIELLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.