Roberto Cota Noperi, LPC

Individual provider Active NPI Professional Counselor · Tucson, AZ

NPI 1780423012 · NPPES record last updated Aug 15, 2024

Key facts

NPI
1780423012
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-22940 (AZ)
Practice address
6101 W Arizona Pavilions Dr Apt 11108
Tucson, AZ 85743-6827
Phone
(520) 245-4799
NPI assigned
May 24, 2024
Sex
Male
Sole proprietor
Yes

Organizations & group practices 11

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Community Health Center-Maria Auxiliadora, Inc (27 clinicians)

Practice addresses (Care Compare)

1260 S Campbell Ave
Green Valley, AZ 85614-0503
Phone (520) 407-5800

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240821001307 AZ Practitioner - Mental Health Counselor 0446798177 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC-22940AZMDCounseling Psychologist
22940AZMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center-Maria Auxiliadora, Inc. Current
since Jul 22, 2024
Accepting new patients
United Community Health Center - Maria Auxiliadora, Inc. Single Specialty Current
since Jul 22, 2024
Accepting new patients

Locations

1260 S Campbell Ave
Green Valley, AZ 85614
Phone (520) 407-5600

1260 S Campbell Ave
Bldg 2
Green Valley, AZ 85614
Phone (520) 407-5400

Interoperability endpoints

  • Direct secure messaging: roberto.noperi@uchc.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC1900X LPC-22940 AZ
Professional Counselor 101YP2500X LPC-22940 AZ Yes

Addresses

Primary practice location

6101 W Arizona Pavilions Dr Apt 11108
Tucson, AZ 85743-6827

Mailing address

6101 W Arizona Pavilions Dr Apt 11108
Tucson, AZ 85743-6827
Phone (520) 245-4799

Other providers in Tucson, AZ

All providers in Tucson, AZ · Professional Counselor in Arizona

Sources for this page

Verify at the official NPI Registry.