Active NPI
Kelle English
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
National Provider Identifier
1013396050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-11631
- Practice address
- 1424 S 7TH Ave
BLDG. C
Phoenix, AZ 85007-3902 - Phone
- (602) 258-3600
- Fax
- (602) 256-0514
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-11631 | AZ | Primary |
Addresses
Primary practice location
1424 S 7TH Ave
BLDG. C
Phoenix, AZ 85007-3902
Mailing address
1424 S 7TH Ave
BLDG. C
Phoenix, AZ 85007-3902
Phone (602) 258-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | PENDING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-11631 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1013396050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 S 7TH AVE",
"address_2": "BLDG. C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850073902",
"telephone_number": "602-258-3600",
"fax_number": "602-256-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 S 7TH AVE",
"address_2": "BLDG. C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850073902",
"telephone_number": "602-258-3600",
"fax_number": "602-256-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLISH",
"first_name": "KELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-11631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING",
"identifier": "PENDING",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.