Individual provider Active NPI

Victor Antonio Scozzarella, MSC, NCC, LPC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1952756835
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-15697 Issued in AZ
Practice address
1661 N Swan Rd Ste 250
Tucson, AZ 85712-4053
Phone
(520) 398-4265
NPI assigned
Apr 28, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 LPC-15697 AZ Primary

Addresses

Primary practice location

1661 N Swan Rd Ste 250
Tucson, AZ 85712-4053

Mailing address

1661 N Swan Rd Ste 250
Tucson, AZ 85712
Phone (520) 398-4265

Other practice location 1

1625 N Alvernon Way
Tucson, AZ 85712-3369
Phone (520) 546-1642

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-15697AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Life Skills Development, LLC Professional Past Accepting new patients

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, 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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952756835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-398-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124053",
            "telephone_number": "520-398-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N Alvernon Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857123369",
            "country_code": "US",
            "telephone_number": "520-546-1642",
            "fax_number": "520-325-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOZZARELLA",
        "first_name": "VICTOR",
        "middle_name": "ANTONIO",
        "credential": "MSC, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-15697",
            "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 Jul 21, 2022; 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.