Individual provider Active NPI

Kristen R Coffey, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1265048029
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
908 N Belvedere Ave Apt 3
Tucson, AZ 85711-2048
Phone
(262) 424-8711
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

908 N Belvedere Ave Apt 3
Tucson, AZ 85711-2048

Mailing address

908 N Belvedere Ave Apt 3
Tucson, AZ 85711-2048
Phone (262) 424-8711

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
I20241126003735 AZ Practitioner - Mental Health Counselor 1557896651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

900 E Florence Blvd
Suite a
Casa Grande, AZ 85122-4673
Phone (520) 723-4429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation CurrentSince May 5, 2025 Accepting new patients
Easter Seals Blake Foundation Current Accepting new patients
Easter Seals Blake Foundation CurrentSince May 5, 2025 Accepting new patients
Community Impact Counseling LLC Current Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients

Locations

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6306 N 7th St
Phoenix, AZ 85014
Phone (602) 279-5801

6303 N 7TH St
Phoenix, AZ 85014

6306 N 7th St
Ste 1A
Phoenix, AZ 85014

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

3860 W 24th St
Ste 201
Yuma, AZ 85364

Organizations & group practices 5

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1265048029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N BELVEDERE AVE APT 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112048",
            "telephone_number": "262-424-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N BELVEDERE AVE APT 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112048",
            "telephone_number": "262-424-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "KRISTEN",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.