Active NPI
Kathleen K Exelby, PH.D., MA,LPC
- Professional Counselor
- Scottsdale, AZ
National Provider Identifier
1114977485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0513
- Practice address
- 16700 N Thompson Peak Pkwy
Unit 120
Scottsdale, AZ 85260-2384 - Phone
- (480) 991-8351
- Fax
- (480) 998-3830
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0513 | AZ | Primary |
Addresses
Primary practice location
16700 N Thompson Peak Pkwy
Unit 120
Scottsdale, AZ 85260-2384
Mailing address
16700 N Thompson Peak Pkwy
Unit 120
Scottsdale, AZ 85260-2384
Phone (480) 991-8351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC#0513 | Other | AZ | PROFESSIONAL LICENSE |
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
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0513 | AZ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Therapies LTD. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1932480985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1114977485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16700 N THOMPSON PEAK PKWY",
"address_2": "UNIT 120",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602384",
"telephone_number": "480-991-8351",
"fax_number": "480-998-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16700 N THOMPSON PEAK PKWY",
"address_2": "UNIT 120",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602384",
"telephone_number": "480-991-8351",
"fax_number": "480-998-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXELBY",
"first_name": "KATHLEEN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PH.D., MA,LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "0513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "LPC#0513",
"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 Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.