Individual provider Active NPI

Audrey Schackart

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1922608579
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-18094 Issued in AZ
Practice address
1580 N Kolb Rd Ste 200
Tucson, AZ 85715-4933
Phone
(520) 775-2465
NPI assigned
Oct 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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 LCSW-18094 AZ Primary

Addresses

Primary practice location

1580 N Kolb Rd Ste 200
Tucson, AZ 85715-4933

Mailing address

5624 N El Sirio Dr
Tucson, AZ 85704-2618

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
LCSW-18094AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hygge Mental Health LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

5669 N Oracle Rd
Ste 2101
Tucson, AZ 85704
Phone (520) 775-2465

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": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1922608579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 N EL SIRIO DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N KOLB RD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154933",
            "telephone_number": "520-775-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACKART",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-18094",
            "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 Oct 31, 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.

Verify at the official NPI Registry.