Active NPI
Tiffany Ruelaz, PH.D, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1831643097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-19125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178011399 | IL | |
| Marriage & Family Therapist | 106H00000X | 208000434 | IL | |
| Professional Counselor | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-19125 | AZ | MD | Professional Counselor |
| 178011399 | IL | MD | Professional Counselor |
| 208000434 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Az | Current | Accepting new patients | |
| Change, LLC | Marriage & Family Therapist | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1073108254
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.