PINAL HISPANIC COUNCIL
NPI 1588966717
Community/Behavioral Health in Douglas, AZ

Active since November 19, 2010
1940 E 11TH ST, DOUGLAS, AZ 85607(520) 466-7765(520) 466-4475 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pinal Hispanic Council NPPES

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

PINAL HISPANIC COUNCIL (NPI 1588966717) is a healthcare organization registered as a community/behavioral health in Douglas, Arizona and active in the NPI registry since November 2010. The organization lists Rose M Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1588966717
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePINAL HISPANIC COUNCIL
Location Address1940 E 11TH STDouglas, AZ 85607-2413
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Fax(520) 466-4475
Organization SubpartNo
Authorized OfficialRose M LopezPresident And Ceo · (520) 721-1887
Enumeration DateNovember 19, 2010
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1588966717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AZ · BH3766
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1940 E 11TH ST, Douglas, AZ 85607

Other Identifiers 3

OtherBH3766AZ · Obhl License
OtherOTC6065AZ · Adhs/bmfl License
Medicaid598482AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pinal Hispanic Council is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20091104000052Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Pinal Hispanic Council, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner21
Mental Health Counselor5
Clinical Social Worker1
Emergency Medicine1
Family Practice1
Psychiatry1

Nearest to this location (20)

See all 30
Mental Health Counselor
NPI 1700616737
500 S HIGHWAY 80 STE A
Benson, AZ 85602
(520) 721-0290
✔ PECOS63 mi
Nurse Practitioner
NPI 1619365954
1835 N MASTICK WAY
Nogales, AZ 85621
(520) 375-5000
✔ PECOS✔ Accepts Medicare83 mi
Mental Health Counselor
NPI 1356505093
32 BOULEVARD DEL REY DAVID
Nogales, AZ 85621
(520) 287-4713
✔ PECOS✔ Accepts Medicare85 mi
Nurse Practitioner
NPI 1386312577
7973 S SILVER LILLIE WAY
Tucson, AZ 85747
(214) 998-2077
✔ PECOS✔ Accepts Medicare87 mi
Nurse Practitioner
NPI 1144610239
350 NORTH WILMOT RD CARONDELET HEALTH NETWORK,OCCUPATIONAL HEALTH
Tucson, AZ 85711
(520) 873-3844
✔ PECOS✔ Accepts Medicare99 mi
Nurse Practitioner
NPI 1780147405
5055 E BROADWAY BLVD STE A200
Tucson, AZ 85711
(520) 901-4800
✔ PECOS✔ Accepts Medicare100 mi
Mental Health Counselor
NPI 1477353589
5055 E BROADWAY BLVD STE A200
Tucson, AZ 85711
(520) 901-4800
✔ PECOS100 mi
Nurse Practitioner
NPI 1578822680
5055 E BROADWAY BLVD STE A200
Tucson, AZ 85711
(520) 721-1887
✔ PECOS✔ Accepts Medicare100 mi
Mental Health Counselor
NPI 1720217623
1021 E PALMDALE ST STE 130
Tucson, AZ 85714
(520) 407-5353
✔ PECOS✔ Accepts Medicare102 mi
Family Practice
NPI 1386271104
1021 E PALMDALE ST STE 130
Tucson, AZ 85714
(520) 407-5353
✔ PECOS✔ Accepts Medicare102 mi
Psychiatry
NPI 1629101217
1501 W COMMERCE CT
Tucson, AZ 85746
(520) 741-3180
✔ PECOS✔ Accepts Medicare102 mi
Emergency Medicine
NPI 1417334970
1501 N CAMPBELL AVE
Tucson, AZ 85724
(520) 626-7233
✔ PECOS104 mi
Clinical Social Worker
NPI 1083336432
310 S MEYER AVE
Tucson, AZ 85701
(520) 209-2492
✔ PECOS104 mi
Nurse Practitioner
NPI 1003090739
107 E 4TH ST
Eloy, AZ 85131
(480) 247-7619
✔ PECOS✔ Accepts Medicare153 mi
Nurse Practitioner
NPI 1952159253
3755 S ROME STREET
Gilbert, AZ 85297
(480) 677-5500
✔ PECOS✔ Accepts Medicare186 mi
Mental Health Counselor
NPI 1093985012
3303 E BASELINE RD, STE 109, BLDG 5
Gilbert, AZ 85234
(480) 534-6476
✔ PECOS191 mi
Nurse Practitioner
NPI 1467547414
1930 S ALMA SCHOOL RD STE A206
Mesa, AZ 85210
(480) 779-9050
✔ PECOS195 mi
Nurse Practitioner
NPI 1902304801
1515 E OSBORN RD
Phoenix, AZ 85014
(602) 604-0000
✔ PECOS✔ Accepts Medicare208 mi
Nurse Practitioner
NPI 1164283818
1515 E OSBORN RD
Phoenix, AZ 85014
(602) 604-0000
✔ PECOS✔ Accepts Medicare208 mi
Nurse Practitioner
NPI 1700547353
1515 E OSBORN RD
Phoenix, AZ 85014
(602) 604-0000
✔ PECOS✔ Accepts Medicare208 mi
See all 30 clinicians

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 Pinal Hispanic Council's NPI number?

The NPI number for Pinal Hispanic Council is 1588966717. It was assigned to this organization in the NPPES registry on November 19, 2010.

Where is Pinal Hispanic Council located?

Pinal Hispanic Council is located at 1940 E 11th St, Douglas, AZ 85607. The listed phone number is (520) 466-7765.

What is Pinal Hispanic Council's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Pinal Hispanic Council enrolled in Medicare?

Yes. Pinal Hispanic Council is registered in the Medicare PECOS enrollment system.

When is Pinal Hispanic Council's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pinal Hispanic Council?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 6 Medicare specialties reassign their Medicare billing to Pinal Hispanic Council. 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. The largest specialties are Nurse Practitioner (21), Mental Health Counselor (5) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pinal Hispanic Council accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Pinal Hispanic Council 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 Pinal Hispanic Council was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.