Individual provider Active NPI

Jason Shane Badgett, A.A

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1417844754
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3131 N Country Club Rd Ste 100
Tucson, AZ 85716-1650
Phone
(520) 229-6220
NPI assigned
Jun 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3131 N Country Club Rd Ste 100
Tucson, AZ 85716-1650

Mailing address

3131 N Country Club Rd Ste 100
Tucson, AZ 85716-1650
Phone (520) 229-6220

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
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Life Skills Development, LLC PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1417844754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 N COUNTRY CLUB RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161650",
            "telephone_number": "520-229-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 N COUNTRY CLUB RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161650",
            "telephone_number": "520-229-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGETT",
        "first_name": "JASON",
        "middle_name": "SHANE",
        "credential": "A.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Jun 19, 2025; 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.