Individual provider Active NPI

Martha Alicia Corella, MSC, LPC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1932750163
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC18413 Issued in AZ
Practice address
1955 W Grant Rd Ste F
Tucson, AZ 85745-1147
Phone
(520) 462-7750
NPI assigned
Sep 29, 2019
Last updated
Sep 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

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 LPC18413 AZ Primary

Addresses

Primary practice location

1955 W Grant Rd Ste F
Tucson, AZ 85745-1147

Mailing address

1931 W Waverly St
Tucson, AZ 85745-1957
Phone (520) 981-3711

Other names 1

  • Ms. Martha A Corella Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcorella@corellacounseling.com Direct

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
LPC18413AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1932750163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W WAVERLY ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451957",
            "telephone_number": "520-981-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W GRANT RD STE F",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451147",
            "telephone_number": "520-462-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORELLA",
        "first_name": "MARTHA",
        "middle_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "MSC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC18413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcorella@corellacounseling.com",
            "affiliation": "N",
            "endpointDescription": "mcorella@corellacounseling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1955 W Grant Rd Ste F",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857451147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "CORELLA",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Sep 29, 2019; 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.