Individual provider Active NPI

Lee A Pinkerton

  • Professional Counselor
  • Casa Grande, AZ
National Provider Identifier
1710479670
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17359 Issued in AZ
Practice address
900 E Florence Blvd
Casa Grande, AZ 85122-4666
Phone
(520) 836-4278
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 LPC-17359 AZ Primary

Addresses

Primary practice location

900 E Florence Blvd
Casa Grande, AZ 85122-4666

Mailing address

900 E Florence Blvd
Casa Grande, AZ 85122-4666

Other identifiers 1

IdentifierTypeStateIssuer
716251MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920001761 AZ Practitioner - Other (Non-Physician) 0941654248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1075 E Fort Lowell Rd
Tucson, AZ 85719-2159
Phone (520) 202-1960

380 E Fort Lowell Rd
Tucson, AZ 85705-3985
Phone (520) 202-1796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness Current Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Jan 1, 2024 Accepting new patients
Corazon Inc. Past Accepting new patients

Locations

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

Interoperability endpoints

  • Direct secure messaging: lee.pinkerton.p1@direct.codachrw.nextgenshare.com
  • Direct secure messaging: lee.pinkerton@mmcodachrw.contexture.medalliesmail.com

Organizations & group practices 4

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1710479670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224666",
            "telephone_number": "520-836-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "LEE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716251",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.