NPIMap

Organization Active NPI

Old Pueblo Counseling, Incorporated

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1982908638
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BH-3343 Issued in AZ
Legal business name
OLD PUEBLO COUNSELING, INCORPORATED
Practice address
380 E Fort Lowell Rd Ste 120
Tucson, AZ 85705-3981
Phone
(520) 624-6797
Fax
(520) 624-6977
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Lynn Gransie Barwick, LCSWNPI 1699742981
Title
Administrator/Owner
Phone
(520) 624-6797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X BH-3343 AZ Primary

Addresses

Primary practice location

380 E Fort Lowell Rd Ste 120
Tucson, AZ 85705-3981

Mailing address

380 E Fort Lowell Rd Ste 120
Tucson, AZ 85705-3981
Phone (520) 624-6797

National Provider Directory

National Provider Directory

Locations

380 E Fort Lowell Rd
Ste 120
Tucson, AZ 85705
Phone (520) 624-6797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1982908638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E FORT LOWELL RD STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053981",
            "telephone_number": "520-624-6797",
            "fax_number": "520-624-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E FORT LOWELL RD STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053981",
            "telephone_number": "520-624-6797",
            "fax_number": "520-624-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD PUEBLO COUNSELING, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "BARWICK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "GRANSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "520-624-6797",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "BH-3343",
            "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 Jan 10, 2011; 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.