NATIVE MIND LLC (NPI# 1083262984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083262984 |
| Entity Type | Organization |
| Organization Name | NATIVE MIND LLC |
| Practice Address |
6294 S Eagle Talon Pkwy Tucson AZ 85757 |
| Mailing Address |
Po Box 2711 Sells AZ 85634-2711 |
| Practice Telephone | 5202891838 |
| Mailing Telephone | 5202891838 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | MR. CACHORA RENA STANDIFER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5202891838 |
| Authorized Official Credential | MRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6294 S EAGLE TALON PKWY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063977007 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 7490 So Camino De Oeste, Tucson, AZ 85757 | 2019-02-04 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1154786812 | Keith Duane Brock | Counselor | 7426 S Camino Vahcom, Tucson, AZ 85757 | 2015-12-23 |
| 1407285224 | Molly Corral | Occupational Therapist | 7420 West Calle Tetakusim, Tucson, AZ 85757 | 2013-11-02 |
| 1972766889 | Albert Mendoza | Respite Care | 4765 W Nebraksa, Tucson, AZ 85757 | 2008-07-10 |
| 1225209125 | Sarah A Dachtyl | Speech-Language Pathologist | 4900 W Calle Don Roberto, Tucson, AZ 85757 | 2008-03-18 |
| 1073603437 | Traci J Otto | Counselor | 7474 South Camino De Oeste, Tucson, AZ 85757 | 2006-10-13 |
| 1942575089 | Adrienne Marie Figueroa | Pharmacist | 7900 S J Stock Rd, Tucsonh, AZ 85757 | 2012-03-21 |
| 1790961233 | Tim Mark Hannah | Community Based Residential Treatment Facility, Mental Illness | 4901 W Calle Don Alfonso, Tucson, AZ 85757-1422 | 2008-01-15 |
| 1255478889 | Crisanta T Hannah | Community Based Residential Treatment Facility, Mental Illness | 7151 W Valley Stream Drive, Tucson, AZ 85757-1422 | 2007-01-31 |
| Find all providers in zip 85757 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1508490673 | Terrence Hickey | Counselor | 11235 E Sundance Dr, Tucson, AZ 85749-8280 | 2020-02-27 |
| 1568092815 | Travis Anderson | Counselor | 2002 W Anklam Rd, Tucson, AZ 85745-2148 | 2020-01-24 |
| 1740830447 | Let All Thrive, LLC | Counselor | 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 | 2019-09-13 |
| 1316424526 | Wendy Sizer LLC | Counselor | 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 | 2018-07-20 |
| 1841705043 | Cynthia Miller Potter | Counselor | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2017-12-10 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1104374255 | Shannon Dexter Petrovich | Counselor | 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 | 2016-09-19 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on NATIVE MIND LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.