TRACI J OTTO MS NPI 1073603437

NPI Information

NPI: 1073603437
Provider Name: TRACI J OTTO, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7474 SOUTH CAMINO DE OESTE
TUCSON, AZ
ZIP 85757
Phone: (520) 879-6077
Get Directions

Traci J Otto, MS is a mental health counselor in Tucson, AZ. Traci J Otto, MS NPI is 1073603437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7474 SOUTH CAMINO DE OESTE
TUCSON, AZ
ZIP 85757
Phone: (520) 879-6077

The enumeration date for this NPI number is 10/13/2006 and was last updated on 12/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	905	NEBRASKA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-15036	ARIZONA	No
3	101YM0800X	Counselor	Mental Health	3011	NEBRASKA	No
4	101YM0800X	Counselor	Mental Health	436	NEBRASKA	No
5	101YM0800X	Counselor	Mental Health	LPC-15542	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	743005000	MEDICAID	NEBRASKA
2	85632	OTHER	NEBRASKA	BCBS PIN
3	250405	OTHER	NEBRASKA	MIDLANDS CHOICE PIN
4	10025378400	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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