Individual provider Active NPI

Lucero Dorame, LPC, CRC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1437626611
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-19448 Issued in AZ
Practice address
5040 E Wash Overlook Dr
Tucson, AZ 85706-0118
Phone
(520) 261-3638
NPI assigned
Oct 25, 2018
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-17513 AZ
Mental Health Counselor 101YM0800X LPC-19448 AZ Primary

Addresses

Primary practice location

5040 E Wash Overlook Dr
Tucson, AZ 85706-0118

Mailing address

5040 E Wash Overlook Dr
Tucson, AZ 85706-0118

Other practice location 1

140 W Speedway Blvd Ste 100
Tucson, AZ 85705-7687
Phone (520) 309-2127

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

State licenses

LicenseStateTypeSpecialty
LAC-17513AZMDMental Health Counselor
LPC-19448AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reflection Mental Health Mental Health CurrentSince Jan 1, 2021 Accepting new patients

Locations

255 N Rosemont Blvd
Unit 57723
Tucson, AZ 85732

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, 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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1437626611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 E WASH OVERLOOK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857060118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E WASH OVERLOOK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857060118",
            "telephone_number": "520-261-3638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Speedway Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857057687",
            "country_code": "US",
            "telephone_number": "520-309-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAME",
        "first_name": "LUCERO",
        "credential": "LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-17513",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19448",
            "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 Apr 25, 2022; 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.