Individual provider Active NPI

Tawnya Swenson, LAC

  • Professional Counselor
  • Yuma, AZ
National Provider Identifier
1619576386
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LAC-17468 Issued in AZ
Practice address
3970 W 24TH St Ste 206
Yuma, AZ 85364-9255
Phone
(928) 373-8041
Fax
(928) 259-2501
NPI assigned
Oct 22, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 LAC-17468 AZ Primary

Addresses

Primary practice location

3970 W 24TH St Ste 206
Yuma, AZ 85364-9255

Mailing address

3970 W 24TH St Ste 206
Yuma, AZ 85364-9255
Phone (928) 373-8041

Other identifiers 1

IdentifierTypeStateIssuer
LAC-17468OtherAZAZ BOARD OF BEHAVIORAL HEALTH EXAMINERS

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

LicenseStateTypeSpecialty
LAC-17468AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Counseling & Recovery Services CurrentSince Oct 25, 2020 Accepting new patients

Locations

3970 W 24th St
Ste 204
Yuma, AZ 85364
Phone (928) 373-8041

3970 W 24th St
Ste 206
Yuma, AZ 85364
Phone (928) 373-8041

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1619576386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 206",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 206",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "TAWNYA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-17468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LAC-17468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.