Organization Active NPI

Sea Change LLC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1043969173
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SEA CHANGE LLC
Practice address
8160 E Butherus Dr Ste 5
Scottsdale, AZ 85260-2523
Phone
(480) 390-1409
Fax
(480) 383-6825
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Mrs. Kimberly Anne Popkey, MA, LPC, CEDS, SEP
Title
Licensed Professional Counselor
Phone
(480) 390-1409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

8160 E Butherus Dr Ste 5
Scottsdale, AZ 85260-2523

Mailing address

8160 E Butherus Dr Ste 5
Scottsdale, AZ 85260-2523
Phone (480) 390-1409

Other identifiers 1

IdentifierTypeStateIssuer
884628MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1043969173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602523",
            "telephone_number": "480-390-1409",
            "fax_number": "480-383-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602523",
            "telephone_number": "480-390-1409",
            "fax_number": "480-383-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "POPKEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "480-390-1409",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, CEDS, SEP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884628",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.