Individual provider Active NPI

Mariel Camacho Cruz

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1871382143
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
23343 Issued in AZ
Practice address
1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416
Phone
(520) 873-8562
NPI assigned
May 3, 2025
Last updated
May 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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 23343 AZ Primary

Addresses

Primary practice location

1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416

Mailing address

10700 N la Reserve Dr Apt 5105
Oro Valley, AZ 85737-9079
Phone (787) 585-5919

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
I20260611003013 AZ Practitioner - Mental Health Counselor 4284106113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 N Wilmot Rd
Suite A200
Tucson, AZ 85712-4416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23343AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Psychiatry PLLC CurrentSince May 4, 2025 Accepting new patients
Tucson Counseling PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

1500 N Wilmot Rd
Ste A200
Tucson, AZ 85712
Phone (520) 873-8562

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1871382143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N LA RESERVE DR APT 5105",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379079",
            "telephone_number": "787-585-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-873-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO CRUZ",
        "first_name": "MARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.