Individual provider Active NPI

Rosario C Cervantez, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1871031740
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC16526 Issued in AZ
Practice address
6675 S Squawroot PL
Tucson, AZ 85756-5103
Phone
(520) 245-7373
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC16526 AZ Primary

Addresses

Primary practice location

6675 S Squawroot PL
Tucson, AZ 85756-5103

Mailing address

6675 S Squawroot PL
Tucson, AZ 85756-5103
Phone (520) 528-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC16526AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Therapy and Consultation Services PLLC Professional CurrentSince Aug 18, 2024 Accepting new patients
Mobile Care Physicians Group PC Professional Past Accepting new patients
Sea Glass Mental Health Inc Professional Past Accepting new patients

Organizations & group practices 3

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1871031740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 S SQUAWROOT PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565103",
            "telephone_number": "520-528-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 S SQUAWROOT PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565103",
            "telephone_number": "520-245-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTEZ",
        "first_name": "ROSARIO",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC16526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.