Individual provider Active NPI

Peter Tumolo, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1740646710
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15145 Issued in AZ
Practice address
3610 N 44TH St Ste 120
Phoenix, AZ 85018-6060
Phone
(602) 218-6901
Fax
(602) 492-9717
NPI assigned
Jan 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15145 AZ
Professional Counselor 101YP2500X LPC-15145 AZ Primary

Addresses

Primary practice location

3610 N 44TH St Ste 120
Phoenix, AZ 85018-6060

Mailing address

793 N Alma School Rd Ste D-6
Chandler, AZ 85224-3681
Phone (480) 227-6440

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

LicenseStateTypeSpecialty
15145AZMDMental Health Counselor
LPC-15145AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Growth Counseling Mental Health Current Accepting new patients
Peter Tumolo, PLLC. Mental Health CurrentSince May 26, 2024 Accepting new patients
Arcadia Counseling Center Professional Past Accepting new patients
Arcadia Counseling Center Professional Past Accepting new patients

Locations

793 N Alma School Rd
Ste D6
Chandler, AZ 85224
Phone (480) 227-6440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1740646710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 N ALMA SCHOOL RD STE D-6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243681",
            "telephone_number": "480-227-6440",
            "fax_number": "855-566-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N 44TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186060",
            "telephone_number": "602-218-6901",
            "fax_number": "602-492-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMOLO",
        "first_name": "PETER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "15145",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.