SARA RAE PONDECA (NPI# 1164924908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164924908 |
| Entity Type | Individual |
| Full Name | SARA RAE PONDECA |
| Other Name | SARA RAE FIRKUS |
| Credential | MA LPC |
| Practice Address |
8050 E Lakeside Pkwy Tucson AZ 85730-1254 |
| Mailing Address |
82 S Stone Ave Tucson AZ 85701-1713 |
| Practice Telephone | 5205845820 |
| Practice Fax Number | 5205141514 |
| Mailing Telephone | 5207923293 |
| Mailing Fax Number | 5207924336 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17079 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
8050 E LAKESIDE PKWY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256482 | Rainier J Diaz | Psychiatry & Neurology | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2006-05-26 |
| 1053951285 | Gareth Moore Serrano | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2020-01-15 |
| 1023658390 | Diljot Grewal | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2020-01-14 |
| 1053893693 | Tanya O Weatherby | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2018-08-30 |
| 1003353533 | Holly Marie Hill | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2017-01-23 |
| 1982153649 | Christie Ann Green | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2016-09-22 |
| 1194185264 | Kammy Willems | Social Worker | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2016-03-02 |
| 1063883064 | Mariah Blodgett | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2015-10-15 |
| 1700279288 | Susana Villa | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2015-03-09 |
| 1891123188 | Jennifer O'connor | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1396363172 | Carly Moss | Counselor | 4625 E Broadway Blvd Ste 105, Tucson, AZ 85711-3575 | 2020-07-08 |
| 1891317665 | Chris Ledyard | Counselor | 1150 N Sonoita Ave, Tucson, AZ 85712-5169 | 2020-05-14 |
| 1437770013 | Elsa M Duarte | Counselor | 1900 W Speedway Blvd, Tucson, AZ 85745-2215 | 2020-05-05 |
| 1679194898 | Kelly J Wilt | Counselor | 469 S Convent Ave, Tucson, AZ 85701-2261 | 2020-04-28 |
| 1598385098 | David Thomas Bradley | Counselor | 5909 E 3rd St, Tucson, AZ 85711-1522 | 2020-04-24 |
| 1689203036 | Mary C Cahilly | Counselor | 2165 N Camino Agrios, Tucson, AZ 85715-5908 | 2020-04-07 |
| 1316575418 | Gayla Lemley | Counselor | 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 | 2020-04-01 |
| 1649806738 | Metamorphosis Counseling Services | Counselor | 310 S Williams Blvd Ste 235, Tucson, AZ 85711-7704 | 2020-03-20 |
| Find all providers in TUCSON | ||||
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| 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.