Individual provider Active NPI

Timothy Alan Hofmann, M.C., LPC

  • Mental Health Counselor
  • Chandler, AZ
National Provider Identifier
1932198744
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-1417 Issued in AZ
Practice address
3150 N Arizona Ave
Suite 109
Chandler, AZ 85225-7168
Phone
(480) 813-2650
Fax
(480) 813-2590
NPI assigned
Oct 14, 2005
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-1417 AZ
Mental Health Counselor 101YM0800X LPC-1417 AZ Primary
Professional Counselor 101YP2500X LPC-1417 AZ

Addresses

Primary practice location

3150 N Arizona Ave
Suite 109
Chandler, AZ 85225-7168

Mailing address

3150 N Arizona Ave
Suite 109
Chandler, AZ 85225-7168
Phone (480) 813-2650

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
LPC-1417AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1932198744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N ARIZONA AVE",
            "address_2": "SUITE 109",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257168",
            "telephone_number": "480-813-2650",
            "fax_number": "480-813-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N ARIZONA AVE",
            "address_2": "SUITE 109",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257168",
            "telephone_number": "480-813-2650",
            "fax_number": "480-813-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.C., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-1417",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-1417",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.