Individual provider Active NPI

Kenneth Wade Lee, LPC,NCC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1013723493
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-23520
Practice address
2001 W Orange Grove Rd Ste 406
Tucson, AZ 85704-1141
Phone
(520) 248-6601
NPI assigned
Dec 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LPC-23520 Primary

Addresses

Primary practice location

2001 W Orange Grove Rd Ste 406
Tucson, AZ 85704-1141

Mailing address

12510 N Lantern Way
Oro Valley, AZ 85755-8953
Phone (520) 248-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520005054 AZ Practitioner - Mental Health Counselor 1658899828 Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Dermatology LTD CurrentSince Dec 15, 2024 Accepting new patients
Lee Counseling and Consultations, PLLC Mental Health CurrentSince Mar 25, 2025 Accepting new patients

Locations

2001 W Orange Grove Rd
Ste 406
Tucson, AZ 85704
Phone (520) 248-6601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1013723493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 N LANTERN WAY",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857558953",
            "telephone_number": "520-248-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD STE 406",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041141",
            "telephone_number": "520-248-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENNETH",
        "middle_name": "WADE",
        "credential": "LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LPC-23520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.