Active NPI
Sean Paul Michael Kewin, MA, LAC, NCC
- Counselor
- Tucson, AZ
National Provider Identifier
1427508597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-14330
- Practice address
- 1773 W Saint Marys Rd
Suite 105
Tucson, AZ 85745-2654 - Phone
- (520) 965-7355
- NPI assigned
- Oct 12, 2016
- Last updated
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-14330 | AZ | Primary |
Addresses
Primary practice location
1773 W Saint Marys Rd
Suite 105
Tucson, AZ 85745-2654
Mailing address
1773 W Saint Marys Rd
Suite 105
Tucson, AZ 85745-2654
Phone (520) 965-7355
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-14330 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1427508597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 W SAINT MARYS RD",
"address_2": "SUITE 105",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452654",
"telephone_number": "520-965-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 W SAINT MARYS RD",
"address_2": "SUITE 105",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452654",
"telephone_number": "520-965-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEWIN",
"first_name": "SEAN",
"middle_name": "PAUL MICHAEL",
"credential": "MA, LAC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-14330",
"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 Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.