Active NPI
Alicia E Donovan, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1962069278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18052
- Practice address
- 1120 N 5TH Ave
Tucson, AZ 85705 - Phone
- (520) 624-5600
- Fax
- (520) 623-2443
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18052 | AZ | Primary |
Addresses
Primary practice location
1120 N 5TH Ave
Tucson, AZ 85705
Mailing address
1120 N 5TH Ave
Tucson, AZ 85705
Phone (520) 624-5600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18052 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Tucson LLC | Past | Accepting new patients | |
| Casa de Los Ninos, Inc. | Past | Accepting new patients | |
| Casa de Los Ninos | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1730681685
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1760154181
-
- Counselor
- Tucson, AZ
- NPI 1922574607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1962069278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N 5TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85705",
"telephone_number": "520-624-5600",
"fax_number": "520-623-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N 5TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85705",
"telephone_number": "520-624-5600",
"fax_number": "520-623-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "ALICIA",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "18052",
"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 Jun 11, 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.