Individual provider Active NPI

Adam K Lovallo, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1477853042
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-11947 Issued in AZ
Practice address
58926 E Branding Iron CT
Tucson, AZ 85739-6008
Phone
(520) 615-9571
Fax
(877) 760-0434
NPI assigned
Oct 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-11947 AZ Primary

Addresses

Primary practice location

58926 E Branding Iron CT
Tucson, AZ 85739-6008

Mailing address

58926 E Branding Iron CT
Tucson, AZ 85739-6008
Phone (520) 615-9571

Other names 1

  • Angelo Lovallo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 13, 2024 through Mar 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-11947AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center, Inc Past 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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1477853042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58926 E BRANDING IRON CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857396008",
            "telephone_number": "520-615-9571",
            "fax_number": "877-760-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58926 E BRANDING IRON CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857396008",
            "telephone_number": "520-615-9571",
            "fax_number": "877-760-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVALLO",
        "first_name": "ADAM",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELO",
            "last_name": "LOVALLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.