Individual provider Active NPI

Cachora Standifer, BHT MRT

  • Behavior Technician
  • Tucson, AZ
National Provider Identifier
1497366314
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6294 S Eagles Talon Pkwy
Tucson, AZ 85757-1639
Phone
(520) 289-1838
Fax
(888) 691-1037
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6294 S Eagles Talon Pkwy
Tucson, AZ 85757-1639

Mailing address

6294 S Eagles Talon Pkwy
Tucson, AZ 85757-1639
Phone (520) 289-1838

Other identifiers 1

IdentifierTypeStateIssuer
1083262984MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nativemindllc@gmail.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Native Mind LLC Addiction (Substance Use Disorder) CurrentSince Aug 23, 2020 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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1497366314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6294 S EAGLES TALON PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857571639",
            "telephone_number": "520-289-1838",
            "fax_number": "888-691-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6294 S EAGLES TALON PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857571639",
            "telephone_number": "520-289-1838",
            "fax_number": "888-691-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDIFER",
        "first_name": "CACHORA",
        "name_prefix": "Mr.",
        "credential": "BHT MRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083262984",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nativemindllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted mail location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6294 S Eagles Talon Pkwy",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857571639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 13, 2020; 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.