Individual provider Active NPI

Nicole Buscemi, LMFT

  • Marriage & Family Therapist
  • Sierra Vista, AZ
National Provider Identifier
1497588552
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-16146 Issued in AZ
Practice address
55 S 5TH St
Sierra Vista, AZ 85635-1857
Phone
(520) 452-9784
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-16146 AZ Primary

Addresses

Primary practice location

55 S 5TH St
Sierra Vista, AZ 85635-1857

Mailing address

7750 E Broadway Blvd Ste A200
Tucson, AZ 85710-3903
Phone (520) 327-1529

Other practice location 1

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3902
Phone (520) 327-1529

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241014000926 AZ Practitioner - Marriage and Family Therapist 6305378514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation CurrentSince Jul 19, 2024 Accepting new patients
Easter Seals Blake Foundation CurrentSince Jul 19, 2024 Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients
Easter Seals Blake Foundation PastSince Feb 25, 2024 Accepting new patients

Locations

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6306 N 7th St
Ste 1A
Phoenix, AZ 85014

6303 N 7TH St
Phoenix, AZ 85014

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

7756 E Broadway Blvd
Ste C100
Tucson, AZ 85710
Phone 52032715297108

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste B100
Tucson, AZ 85710

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

3860 W 24th St
Ste 201
Yuma, AZ 85364

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

Organizations & group practices 4

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1497588552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103903",
            "telephone_number": "520-327-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 5TH ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351857",
            "telephone_number": "520-452-9784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 E Broadway Blvd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103902",
            "country_code": "US",
            "telephone_number": "520-327-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCEMI",
        "first_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-16146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.