Individual provider Active NPI

Kimberlee Christina Rosa, LMFT

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1235278995
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1785 Issued in AZ
Practice address
7010 E Acoma Dr
Suite A203
Scottsdale, AZ 85254-3553
Phone
(602) 501-0678
Fax
(602) 494-4454
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Professional Counselor 101YP2500X LPC-1785 AZ Primary

Addresses

Primary practice location

7010 E Acoma Dr
Suite A203
Scottsdale, AZ 85254-3553

Mailing address

7010 E Acoma Dr
Suite A203
Scottsdale, AZ 85254-3553
Phone (602) 501-0678

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

LicenseStateTypeSpecialty
LPC-1785AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1235278995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E ACOMA DR",
            "address_2": "SUITE A203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543553",
            "telephone_number": "602-501-0678",
            "fax_number": "602-494-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E ACOMA DR",
            "address_2": "SUITE A203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543553",
            "telephone_number": "602-501-0678",
            "fax_number": "602-494-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "KIMBERLEE",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2016; 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.