Individual provider Active NPI

Danette Cienfuegos

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1861924839
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-16551 Issued in AZ
Practice address
502 W 29TH St
Tucson, AZ 85713-3353
Phone
(520) 884-9920
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-16551 AZ Primary

Addresses

Primary practice location

502 W 29TH St
Tucson, AZ 85713-3353

Mailing address

504 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 838-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213004870 AZ Practitioner - Mental Health Counselor 7315381738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafrontera Center IncGroup PAC ID 0648171330, 14 clinicians

Practice addresses (Care Compare)

1601 E Apache Park PL
Tucson, AZ 85714-1775
Phone (520) 742-0260

502 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 884-9920

504 W 29TH St
Tucson, AZ 85713-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-16551AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lafrontera Center Inc CurrentSince Jan 1, 2024 Accepting new patients
La Frontera Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
La Frontera Center, Inc. Current Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients
La Frontera Center, Inc. PastSince Mar 12, 2023 Accepting new patients

Locations

502 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

1601 E Apache Park Pl
Tucson, AZ 85714
Phone (520) 742-0260

504 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

1430 N Oracle Rd
Tucson, AZ 85705
Phone (520) 741-3120

Organizations & group practices 5

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1861924839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-838-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-884-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIENFUEGOS",
        "first_name": "DANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-16551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.