Elissa Munoz-Tucker, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LAC-17535 Issued in AZ

Practice address

77 E Columbus Ave Ste 210
Phoenix, AZ 85012-2351

Phone

(602) 230-7373

Fax

(602) 761-2537

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1811630346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122020",
            "telephone_number": "602-329-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E COLUMBUS AVE STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122351",
            "telephone_number": "602-230-7373",
            "fax_number": "602-761-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ-TUCKER",
        "first_name": "ELISSA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-17535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher W Munkel, DDS
• Monica Yvette Munos, MSN ACNP-BC
• Karla Melissa Munoz Balderas, PA-C
• Mariana A Munoz-Morris, DPT
• Valentine Munoz-Sanchez, DPT
• Anais Idania Munoz
• Benjamin Munoz III, PHARMD
• Elma Munoz
• Felicia R Munoz, PHARM.D.
• Jonathan Emilio Munoz, MD

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.