Individual provider Active NPI

Tina Colmenero, MA LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1982427282
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC23442 Issued in AZ
Practice address
7445 N Oracle Rd Ste 155
Tucson, AZ 85704-6367
Phone
(520) 791-9974
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC23442 AZ Primary

Addresses

Primary practice location

7445 N Oracle Rd Ste 155
Tucson, AZ 85704-6367

Mailing address

7445 N Oracle Rd Ste 155
Tucson, AZ 85704-6367
Phone (520) 791-9974

Other practice location 1

555 S La Canada Dr
Green Valley, AZ 85614-2538
Phone (520) 791-9974

Other practice location 2

7670 E Broadway Blvd Ste 107
Tucson, AZ 85710-3440
Phone (520) 791-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001964 AZ Practitioner - Mental Health Counselor 5193252930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Centers IncGroup PAC ID 0143356139, 3 clinicians

Practice addresses (Care Compare)

7445 N Oracle Rd
Suite 155
Tucson, AZ 85704-6367
Phone (888) 592-1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC23442AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Centers Inc CurrentSince Dec 12, 2024 Accepting new patients

Locations

555 S La Canada Dr
Green Valley, AZ 85614
Phone (520) 791-9974

7670 E Broadway Blvd
Ste 107
Tucson, AZ 85710
Phone (520) 791-9974

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1982427282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 N ORACLE RD STE 155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046367",
            "telephone_number": "520-791-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 N ORACLE RD STE 155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046367",
            "telephone_number": "520-791-9974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S La Canada Dr",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856142538",
            "country_code": "US",
            "telephone_number": "520-791-9974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7670 E Broadway Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103440",
            "country_code": "US",
            "telephone_number": "520-791-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLMENERO",
        "first_name": "TINA",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC23442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.