1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Social Worker
  6. NPI Profile

BIG PICTURE COUNSELING
NPI 1467121509
Social Worker - Clinical in Tucson, AZ

Active since September 11, 2021
5308 E TIMROD ST, TUCSON, AZ 85711(520) 727-6474(833) 487-1047 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Jan 5, 2022, Sep 11, 2021 (3 updates tracked since 2021).

About Big Picture Counseling NPPES

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

BIG PICTURE COUNSELING (NPI 1467121509) is a healthcare organization registered as a clinical in Tucson, Arizona and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Portland and lists Janine R Kosek, Owner, as its authorized official.

NPPES Registry Identity

NPI1467121509
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBIG PICTURE COUNSELING
Location Address5308 E TIMROD STTucson, AZ 85711-7428
Mailing Address5308 E Timrod StTucson, AZ 85711-7428 · (520) 727-6474
Phone(520) 727-6474
Fax(833) 487-1047
Organization SubpartNo
Authorized OfficialJanine R KosekOwner · (520) 490-2963
Enumeration DateSeptember 11, 2021
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1467121509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5308 E TIMROD ST, Tucson, AZ 85711
Open in Google Maps ↗

Secondary Practice Location 1

Location 12031 SE Belmont StPortland, OR 97214-2812 · Phone (541) 908-5983 · Fax (833) 487-1047

Other Identifiers 1

Other1417209636Single Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Big Picture Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Big Picture Counseling, which bills Medicare for the services this clinician delivers.

Clinician (1)

Janine Kosek, LCSW
Clinical Social Worker
NPI 1417209636
5308 E TIMROD ST
Tucson, AZ 85711
(520) 727-6474
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Big Picture Counseling's NPI number?

The NPI number for Big Picture Counseling is 1467121509. It was assigned to this organization in the NPPES registry on September 11, 2021.

Where is Big Picture Counseling located?

Big Picture Counseling is located at 5308 E Timrod St, Tucson, AZ 85711. The listed phone number is (520) 727-6474.

What is Big Picture Counseling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Big Picture Counseling enrolled in Medicare?

Yes. Big Picture Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Big Picture Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Big Picture Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Big Picture Counseling accept?

Health plans from Moda Health Plan, Inc. list Big Picture Counseling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Big Picture Counseling was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.