Individual provider Active NPI

June Polatsek, M.A.

  • Counselor
  • Tucson, AZ
National Provider Identifier
1407906431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-0672 Issued in AZ
Practice address
4400 E Broadway Blvd
Suite 704
Tucson, AZ 85711-3517
Phone
(520) 327-6081
Fax
(520) 327-7699
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-0672 AZ Primary

Addresses

Primary practice location

4400 E Broadway Blvd
Suite 704
Tucson, AZ 85711-3517

Mailing address

1380 S Freeman Rd
Tucson, AZ 85748-7855
Phone (520) 731-0783

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-0672AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407906431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S FREEMAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487855",
            "telephone_number": "520-731-0783",
            "fax_number": "520-327-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD",
            "address_2": "SUITE 704",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113517",
            "telephone_number": "520-327-6081",
            "fax_number": "520-327-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLATSEK",
        "first_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-0672",
            "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 Jul 8, 2007; 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.