Honu Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW 4024 Issued in AZ

Legal business name

HONU COUNSELING PLLC

Practice address

5855 North Kolb Road Unit 4208
Tucson, AZ 85750

Phone

(520) 909-4740

NPI assigned

May 10, 2016

Last updated

May 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Petrovich, LCSWNPI 1104374255

Title

Owner

Phone

(520) 909-4740

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Dexter Petrovich, LCSW, LISAC

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1104374255
  NPD (past) Authorized official

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1962858936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 N KOLB RD UNIT 4208",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500991",
            "telephone_number": "520-909-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 NORTH KOLB ROAD UNIT 4208",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85750",
            "telephone_number": "520-909-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONU COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-909-4740",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LISAC 1365",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW 4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honorhealth-Fastmed Ambulatory Holdings LLC (HonorHealth FastMed Urgent Care)
• Honorhealth-Fastmed Ambulatory Holdings LLC (HonorHealth FastMed Urgent Care)
• Honorhealth-Fastmed Ambulatory Holdings LLC (HonorHealth FastMed Urgent Care)
• Joyce Ellen Honorof, M.D.
• Andrzej Honory, MD
• Layne E Hood, MSW
• Tristan Michael Collins Hood, LCSW
• Nicole M Hook, MD
• Olivia Hook
• Alyssa Shay Hooker, PT

• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.