Individual provider Active NPI

David John Mumford, MS, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1588744080
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 12271 Issued in AZ
Practice address
3620 N Mountain Ave
Tucson, AZ 85719-1938
Phone
(520) 320-6285
Fax
(520) 882-7504
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 12271 AZ Primary

Addresses

Primary practice location

3620 N Mountain Ave
Tucson, AZ 85719-1938

Mailing address

504 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 838-5600

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
I20240214001697 AZ Practitioner - Mental Health Counselor 1153765532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC 12271AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lafrontera Center Inc CurrentSince Jan 1, 2024 Accepting new patients
La Frontera Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
La Frontera Center, Inc. Current Accepting new patients
La Frontera Center, Inc. PastSince Mar 12, 2023 Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients

Locations

1430 N Oracle Rd
Tucson, AZ 85705
Phone (520) 741-3120

502 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

1601 E Apache Park Pl
Tucson, AZ 85714
Phone (520) 742-0260

504 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

3620 N Mountain Ave
Tucson, AZ 85719
Phone (520) 838-3932

Organizations & group practices 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1588744080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-838-5600",
            "fax_number": "520-884-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N MOUNTAIN AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191938",
            "telephone_number": "520-320-6285",
            "fax_number": "520-882-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 12271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.