Natasha De Soysa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-16879 Issued in AZ

Practice address

401 W Baseline Rd Ste 210
Tempe, AZ 85283-5350

Phone

(480) 307-6446

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Taproot Therapy PLLC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1407323876
  NPD (past)

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1619500972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BASELINE RD STE 210",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835350",
            "telephone_number": "480-307-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BASELINE RD STE 210",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835350",
            "telephone_number": "480-307-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOYSA",
        "first_name": "NATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-16879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natasha@taproottherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 W Baseline Rd Ste 210",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852835350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Joseph De Jesus, LCSW
• Rachelly De la Cruz, RN
• Ginno De Leon, PMHNP-BC
• Marie Grace De Leon, PMHNP
• Tyler Xavier De Souza, O.D.
• Don De Valle, LPC, LISAC
• Bridget Dean, NMD
• Donald H. Dearth, D.C.
• Debarros Surgical LLC
• Jane H. Debrown, PSY.D.

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.