Active NPI
Carly Rene Zies, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1396992566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-12693
- Practice address
- 1521 N Placita Colonia de Oro
Tucson, AZ 85745-1870 - Phone
- (520) 349-5892
- Fax
- (520) 383-2739
- NPI assigned
- Aug 19, 2008
- Last updated
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-12693 | AZ | Primary |
Addresses
Primary practice location
1521 N Placita Colonia de Oro
Tucson, AZ 85745-1870
Mailing address
1521 N Placita Colonia de Oro
Tucson, AZ 85745-1870
Phone (520) 349-5892
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-12693 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aviva Children's Services | Current | Accepting new patients | |
| Easter Seals Blake Foundation | Past | Accepting new patients |
Locations
153 S Plumer Ave
Tucson, AZ 85719
Phone (520) 310-5425
7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425
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.
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1326385899
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1932530797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1396992566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N PLACITA COLONIA DE ORO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451870",
"telephone_number": "520-349-5892",
"fax_number": "520-383-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 N PLACITA COLONIA DE ORO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451870",
"telephone_number": "520-349-5892",
"fax_number": "520-383-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIES",
"first_name": "CARLY",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-12693",
"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 Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.