Active NPI
Karla J. Gracia, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1619399276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-14425
- Practice address
- 8050 E. Lakeside Pkwy
Tucson, AZ 85730 - Phone
- (520) 584-5820
- Fax
- (520) 514-1514
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-14425 | AZ | Primary |
Addresses
Primary practice location
8050 E. Lakeside Pkwy
Tucson, AZ 85730
Mailing address
82 S Stone Ave
Tucson, AZ 85701-1713
Phone (520) 792-3293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882409 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-14425 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1619399276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 S STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857011713",
"telephone_number": "520-792-3293",
"fax_number": "520-792-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 E. LAKESIDE PKWY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85730",
"telephone_number": "520-584-5820",
"fax_number": "520-514-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIA",
"first_name": "KARLA",
"middle_name": "J.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-14425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882409",
"state": "AZ"
}
],
"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 Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.