Active NPI
Timothy W McCann, BHP, MSL, LIAC
- Addiction (Substance Use Disorder) Counselor
- Tucson, AZ
National Provider Identifier
1609665272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 155274
- Practice address
- 1275 W Starr Pass Blvd
Tucson, AZ 85713-1379 - Phone
- (602) 476-4458
- NPI assigned
- May 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 155274 | AZ | Primary |
Addresses
Primary practice location
1275 W Starr Pass Blvd
Tucson, AZ 85713-1379
Mailing address
6161 W Roan PL
Tucson, AZ 85743-8243
Phone (602) 476-4458
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 Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155274 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Integrated Care | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Tucson, AZ
- NPI 1437949955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1609665272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 W ROAN PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857438243",
"telephone_number": "602-476-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 W STARR PASS BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857131379",
"telephone_number": "602-476-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "TIMOTHY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "BHP, MSL, LIAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "155274",
"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 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.