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TARA FUSILLO LASAC
NPI 1356113179
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since October 25, 2023
3050 W AGUA FRIA FWY STE 150, PHOENIX, AZ 85027(928) 713-1619 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Fusillo Lasac NPPES

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

TARA FUSILLO LASAC (NPI 1356113179) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in (LASAC-15247) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1356113179
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTARA FUSILLOCredential: LASAC
Location Address3050 W AGUA FRIA FWY STE 150Phoenix, AZ 85027-3998
Mailing Address3050 W Agua Fria Fwy Ste 150Phoenix, AZ 85027-3998 · (928) 713-1619
Phone(928) 713-1619
Sole ProprietorNo
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1356113179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed · LASAC-15247✔ Licensed in AZ · 15247
3050 W AGUA FRIA FWY STE 150, Phoenix, AZ 85027
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Other Providers at the Same Location NPPES 7

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

SUZANNE ROBERTA WEINRICH NP-C
Nurse Practitioner
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (602) 802-8388
CAMILLE CORNELIOUS LAC
Counselor (Mental Health)
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (623) 332-8002
MRS. CARMINE DIONE VELEZ LAC
Counselor (Mental Health)
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (602) 802-8388
MRS. EMMA MORAA NYAKUNDI
Nurse Practitioner (Family)
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (602) 802-8388
JASMINE ROSE BERGER LPC- 23610
Counselor (Mental Health)
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (602) 802-8388
SARAH DALE NURSE PRACTITIONER
Nurse Practitioner (Family)
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (520) 276-5800
CHP CARE, PC
Family Medicine (Adult Medicine)
3050 W AGUA FRIA FWY STE 150
PHOENIX, AZ 85027
Maricopa County (602) 802-8388

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 Tara Fusillo's NPI number?

The NPI number for Tara Fusillo is 1356113179. It was assigned to this individual provider in the NPPES registry on October 25, 2023.

Where is Tara Fusillo located?

Tara Fusillo practices at 3050 W Agua Fria Fwy Ste 150, Phoenix, AZ 85027. The listed phone number is (928) 713-1619.

What is Tara Fusillo'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 Tara Fusillo was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.