1477542827 NPI number — MRS. COLLEEN SHARON STEINMANN MA, LPC

Table of content: ALISA PEACOCK (NPI 1366688673)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477542827 NPI number — MRS. COLLEEN SHARON STEINMANN MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINMANN
Provider First Name:
COLLEEN
Provider Middle Name:
SHARON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEBSTER
Provider Other First Name:
COLLEEN
Provider Other Middle Name:
SHARON
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPCC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477542827
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
839 W CONGRESS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85745-2819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-670-3909
Provider Business Mailing Address Fax Number:
520-309-2560

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
839 W CONGRESS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85745-2819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-670-3909
Provider Business Practice Location Address Fax Number:
520-309-2560
Provider Enumeration Date:
10/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0075981 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 92330762 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 099258 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: LPC-15891 . This is a "AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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