Active NPI
Edna Rosas-Gutierrez
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1811389752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC14267
- Practice address
- 4444 E Grant Rd Ste 116
Tucson, AZ 85712-2691 - Phone
- (520) 882-0090
- Fax
- (520) 882-6821
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC14267 | AZ | Primary |
Addresses
Primary practice location
4444 E Grant Rd Ste 116
Tucson, AZ 85712-2691
Mailing address
4825 N Sabino Canyon Rd
Tucson, AZ 85750-6427
Phone (520) 884-7954
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 |
|---|---|---|---|
| LPC14267 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1811389752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 N SABINO CANYON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506427",
"telephone_number": "520-884-7954",
"fax_number": "520-884-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 E GRANT RD STE 116",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122691",
"telephone_number": "520-882-0090",
"fax_number": "520-882-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS-GUTIERREZ",
"first_name": "EDNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC14267",
"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 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.