NPIMap

Organization Active NPI

Tucson Counseling PLLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1740529460
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4333 Issued in AZ
Legal business name
TUCSON COUNSELING PLLC
Practice address
1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416
Phone
(520) 873-8562
Fax
(888) 851-7021
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Elena Malofeeva, PHDNPI 1588820906
Title
Clinical Director
Phone
(520) 873-8562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4333 AZ Primary

Addresses

Primary practice location

1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416

Mailing address

1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416
Phone (520) 873-8562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000499 AZ Part B Supplier - Clinic/Group Practice 5991950230 Receives reassigned benefits from 13 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7070 N Oracle Rd
Ste 115
Tucson, AZ 85704
Phone (520) 873-8562

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1740529460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-873-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-873-8562",
            "fax_number": "888-851-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "MALOFEEVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "520-873-8562",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "4333",
            "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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.