Active NPI
Theresa Lindberg, MSC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1629503735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-15492
- Practice address
- 140 N Tucson Blvd
Tucson, AZ 85716-4740 - Phone
- (520) 881-1292
- Fax
- (520) 881-1648
- NPI assigned
- Apr 26, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-15492 | AZ | Primary |
Addresses
Primary practice location
140 N Tucson Blvd
Tucson, AZ 85716-4740
Mailing address
140 N Tucson Blvd
Tucson, AZ 85716-4740
Phone (520) 881-1292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-15492 | Other | AZ | STATE LICENSE |
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-15492 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1629503735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164740",
"telephone_number": "520-881-1292",
"fax_number": "520-881-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164740",
"telephone_number": "520-881-1292",
"fax_number": "520-881-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "THERESA",
"credential": "MSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-15492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LPC-15492",
"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 Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.