Organization Active NPI

The Healing Place

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1679018394
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15557 Issued in AZ
Legal business name
THE HEALING PLACE
Practice address
2030 E Speedway Blvd
#116
Tucson, AZ 85719-4724
Phone
(520) 241-1462
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Jodi Tudisco, LPC
Title
Licensed Professional Therapist
Phone
(520) 241-1462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 15557 AZ Primary

Addresses

Primary practice location

2030 E Speedway Blvd
#116
Tucson, AZ 85719-4724

Mailing address

6001 N Camino Miraval
Tucson, AZ 85718-3003
Phone (520) 241-1462

National Provider Directory

National Provider Directory

Locations

2030 E Speedway Blvd
Ste 116
Tucson, AZ 85719
Phone (520) 241-1462

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1679018394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 N CAMINO MIRAVAL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183003",
            "telephone_number": "520-241-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E SPEEDWAY BLVD",
            "address_2": "#116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194724",
            "telephone_number": "520-241-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "TUDISCO",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL THERAPIST",
        "authorized_official_telephone_number": "520-241-1462",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "15557",
            "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 Jan 4, 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.

Verify at the official NPI Registry.