Individual provider Active NPI

Kevin Donald Thorson, M. ED.

  • Marriage & Family Therapist
  • Tucson, AZ
National Provider Identifier
1497750996
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0031 Issued in AZ
Practice address
700 N Country Club Rd
Suite 120
Tucson, AZ 85716-4506
Phone
(520) 325-5196
Fax
(520) 325-5197
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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 0031 AZ Primary

Addresses

Primary practice location

700 N Country Club Rd
Suite 120
Tucson, AZ 85716-4506

Mailing address

700 N Country Club Rd
Suite 120
Tucson, AZ 85716-4506
Phone (520) 325-5196

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0031AZMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1497750996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COUNTRY CLUB RD",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164506",
            "telephone_number": "520-325-5196",
            "fax_number": "520-325-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N COUNTRY CLUB RD",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164506",
            "telephone_number": "520-325-5196",
            "fax_number": "520-325-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "KEVIN",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "M. ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "0031",
            "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 May 2, 2008; 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.