Kyria Aiyana Arasim, LPC

Individual provider Active NPI Professional Counselor · Cottonwood, AZ

NPI 1013778422 · NPPES record last updated Jan 29, 2024

Key facts

NPI
1013778422
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-22697 (AZ)
Practice address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone
(877) 634-7333
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC-22697AZMDProfessional Counselor

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ebc46185-d254-4127-aaac-ce969218157e/
  • Direct secure messaging: kyria.arasim.p1@direct.spectrumhg.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-22697 AZ Yes

Addresses

Primary practice location

8 E Cottonwood St
Cottonwood, AZ 86326-4382

Mailing address

8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone (877) 634-7333

Other names

  • Kyria Aiyana Jack Former name

Other providers in Cottonwood, AZ

All providers in Cottonwood, AZ · Professional Counselor in Arizona

Sources for this page

Verify at the official NPI Registry.