Active NPI
Robert Joseph Kincanon, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1770124398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-18426
- Practice address
- 3295 W Ina Rd Ste 150
Tucson, AZ 85741-2192 - Phone
- (520) 744-4376
- NPI assigned
- Oct 4, 2019
- Last updated
- Oct 4, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-18426 | AZ | |
| Professional Counselor | 101YP2500X | LPC-18426 | AZ | Primary |
Addresses
Primary practice location
3295 W Ina Rd Ste 150
Tucson, AZ 85741-2192
Mailing address
3295 W Ina Rd Ste 150
Tucson, AZ 85741-2192
Phone (520) 744-4376
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 |
|---|---|---|---|
| LPC-18426 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1770124398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 W INA RD STE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412192",
"telephone_number": "520-744-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 W INA RD STE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412192",
"telephone_number": "520-744-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCANON",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-18426",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-18426",
"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 Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.