Individual provider Active NPI

Mary C Cahilly, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1689203036
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18630 Issued in AZ
Practice address
2165 N Camino Agrios
Tucson, AZ 85715-5908
Phone
(484) 330-0413
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006091 PA
Professional Counselor 101YP2500X LPC-18630 AZ Primary

Addresses

Primary practice location

2165 N Camino Agrios
Tucson, AZ 85715-5908

Mailing address

2165 N Camino Agrios
Tucson, AZ 85715-5908
Phone (484) 330-0413

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wellbeingisours@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18630AZMDProfessional Counselor
PC006091PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1689203036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 N CAMINO AGRIOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155908",
            "telephone_number": "484-330-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 N CAMINO AGRIOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155908",
            "telephone_number": "484-330-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILLY",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006091",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wellbeingisours@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2165 N Camino Agrios",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857155908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.