Individual provider Active NPI

Katie Neuschwanger, LAC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1871369512
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-22325 Issued in AZ
Practice address
1580 N Kolb Rd Ste 100
Tucson, AZ 85715-4932
Phone
(520) 214-8650
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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-22325 AZ Primary

Addresses

Primary practice location

1580 N Kolb Rd Ste 100
Tucson, AZ 85715-4932

Mailing address

9261 E 8TH St
Tucson, AZ 85710-3115

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

State licenses

LicenseStateTypeSpecialty
LAC-22325AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Space, LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

1580 N Kolb Rd
Ste 100
Tucson, AZ 85715
Phone (520) 214-8650

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1871369512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 E 8TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N KOLB RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154932",
            "telephone_number": "520-214-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSCHWANGER",
        "first_name": "KATIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-22325",
            "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 Dec 4, 2023; 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.