Active NPI
Mary Elizabeth Libby Timmons, LISAC CEAP SAP
- Addiction (Substance Use Disorder) Counselor
- Tucson, AZ
National Provider Identifier
1730233792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1713
- Practice address
- 1661 N Swan Rd
Suite 234
Tucson, AZ 85712 - Phone
- (520) 327-5522
- Fax
- (520) 327-5525
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC 1642 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1713 | AZ | Primary |
Addresses
Primary practice location
1661 N Swan Rd
Suite 234
Tucson, AZ 85712
Mailing address
PO Box 64002
Tucson, AZ 85728
Phone (520) 327-5522
Other names 1
- Elizabeth Timmons
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 |
|---|---|---|---|
| LISAC 1642 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 1713 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive With Chaos, PLLC | Past | Accepting new patients | |
| Arizona Family Therapy Clinic Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Tucson, AZ
- NPI 1720968480
-
- Psychologist
- Tucson, AZ
- NPI 1760548622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730233792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64002",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85728",
"telephone_number": "520-327-5522",
"fax_number": "520-327-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 N SWAN RD",
"address_2": "SUITE 234",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-327-5522",
"fax_number": "520-327-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "MARY ELIZABETH",
"middle_name": "LIBBY",
"name_prefix": "Ms.",
"credential": "LISAC CEAP SAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC 1642",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "1713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "TIMMONS",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.