MR. CHARLES TYLER UPTON LISAC, PLC
NPI 1104136571
Counselor - Addiction (Substance Use Disorder) in Tucson, AZ

Active since October 19, 2010
721 N. FOURTH AVE, TUCSON, AZ 85705(520) 202-1870(520) 202-1889 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Tyler Upton Lisac, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES TYLER UPTON LISAC, PLC (NPI 1104136571) is an individual addiction (substance use disorder) provider in Tucson, Arizona, licensed in Arizona (LISAC10856) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1104136571
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CHARLES TYLER UPTONCredential: LISAC, PLC
Location Address721 N. FOURTH AVETucson, AZ 85705
Mailing Address1650 E. Fort Lowell Rd, Ste 202Tucson, AZ 85719-2378 · (520) 327-4505 · Fax (520) 202-1889
Fax(520) 202-1889
Sole ProprietorNo
Enumeration DateOctober 19, 2010
NPI 1104136571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in AZ · LISAC10856
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC11260 (AZ)
721 N. FOURTH AVE, Tucson, AZ 85705

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
721 N. FOURTH AVE
TUCSON, AZ 85705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Upton's NPI number?

The NPI number for Charles Upton is 1104136571. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Charles Upton located?

Charles Upton practices at 721 N. Fourth Ave, Tucson, AZ 85705. The listed phone number is (520) 202-1870.

What is Charles Upton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Upton was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.