Individual provider Active NPI

Tiffany Ruelaz, PH.D, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1831643097
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19125 Issued in AZ
Practice address
7440 N Oracle Rd BLDG 7
Tucson, AZ 85704-6371
Phone
(520) 276-6893
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178011399 IL
Marriage & Family Therapist 106H00000X 208000434 IL
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-19125 AZ Primary

Addresses

Primary practice location

7440 N Oracle Rd BLDG 7
Tucson, AZ 85704-6371

Mailing address

PO Box 68485
Oro Valley, AZ 85737-8485
Phone (480) 276-3232

Other practice location 1

6026 S Cedar Elm Ln
Tucson, AZ 85747-8990
Phone (480) 276-3232

Other names 1

  • Tiffany Devoy Former name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC-19125AZMDProfessional Counselor
178011399ILMDProfessional Counselor
208000434ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Change Az CurrentSince Mar 1, 2021 Accepting new patients
Change, LLC Marriage & Family Therapist CurrentSince Feb 13, 2022 Accepting new patients

Organizations & group practices 2

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1831643097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68485",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857378485",
            "telephone_number": "480-276-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N ORACLE RD BLDG 7",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046371",
            "telephone_number": "520-276-6893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6026 S Cedar Elm Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857478990",
            "country_code": "US",
            "telephone_number": "480-276-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUELAZ",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011399",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208000434",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "DEVOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 17, 2020; 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.