Individual provider Active NPI

Robert R Plymyer, M.S., L.P.C.

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1811906290
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15399 Issued in AZ
Practice address
6810 E Broadway Blvd
Suite 102
Tucson, AZ 85710-2838
Phone
(520) 302-4116
Fax
(855) 831-9202
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PC003521 PA
Professional Counselor 101YP2500X LPC-15399 AZ Primary

Addresses

Primary practice location

6810 E Broadway Blvd
Suite 102
Tucson, AZ 85710-2838

Mailing address

6810 E Broadway Blvd
Suite 102
Tucson, AZ 85710-2838
Phone (520) 302-4116

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-15399AZMDProfessional Counselor
PC003521PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
In One Peace LLC Past Accepting new patients

Organizations & group practices 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1811906290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 E BROADWAY BLVD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102838",
            "telephone_number": "520-302-4116",
            "fax_number": "855-831-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 E BROADWAY BLVD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102838",
            "telephone_number": "520-302-4116",
            "fax_number": "855-831-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMYER",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PC003521",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15399",
            "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 5, 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.

Verify at the official NPI Registry.