Jonathan S Statt, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-10409 Issued in AZ

Practice address

1022 W Ina Rd # 103
Tucson, AZ 85704-3109

Phone

(520) 447-7440

Fax

(520) 306-4861

NPI assigned

Jun 4, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statt Counseling Services PLLCGroup PAC ID 4880955525, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Statt Counseling Services, PLLC

  • Professional Counselor
  • Tucson, AZ
  • NPI 1922542174

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• Affinity Counseling Center LLC

  • Marriage & Family Therapist
  • Tucson, AZ
  • NPI 1205353083
  NPD Authorized official

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1447570197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89784",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857529784",
            "telephone_number": "520-447-7440",
            "fax_number": "520-306-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W INA RD # 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043109",
            "telephone_number": "520-447-7440",
            "fax_number": "520-306-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATT",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-10409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "869846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Arizona/State Dept of Finance
• Cooper Lee Stateler, MD
• Stateserv Medical, LLC
• Arthur J. Statman Jr., PH.D.
• Statt Counseling Services, PLLC
• Sarah Fiona Stavish, LMT
• Anthony M Stazzone, MD
• Eva Stazzoni, NNP-BC
• Baldassarre Stea, MD, PHD
• Nicholas Jonathan Stea, M.D.

• All providers in Tucson, AZ
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.