Individual provider Active NPI

Adelene Sampson

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1770313769
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23228 Issued in AZ
Practice address
660 N Craycroft Rd
Tucson, AZ 85711-1405
Phone
(520) 519-8540
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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-23228 AZ Primary

Addresses

Primary practice location

660 N Craycroft Rd
Tucson, AZ 85711-1405

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293

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
I20241205000777 AZ Practitioner - Mental Health Counselor 1456887199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

620 N Craycroft Rd
Tucson, AZ 85711-1448
Phone 52079232931308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23228AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Sep 27, 2024 Accepting new patients
Cope Community Services, Inc. Professional CurrentSince Sep 27, 2024 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Cope Community Services, Inc. PastSince Aug 11, 2024 Accepting new patients

Locations

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

5401 E 5th St
Tucson, AZ 85711
Phone (520) 879-6680

5840 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 498-3900

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

660 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 519-8540

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1770313769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111405",
            "telephone_number": "520-519-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "ADELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.