Individual provider Active NPI

Kelly Rau, LMFT

  • Marriage & Family Therapist
  • Phoenix, AZ
National Provider Identifier
1265898837
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
87197 Issued in CA
Practice address
2633 E Indian School Rd Ste 250
Phoenix, AZ 85016-0703
Phone
(602) 531-7111
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 87197 CA Primary

Addresses

Primary practice location

2633 E Indian School Rd Ste 250
Phoenix, AZ 85016-0703

Mailing address

2633 E Indian School Rd Ste 250
Phoenix, AZ 85016-0703

Other practice location 1

3114 E Claremont Ave
Phoenix, AZ 85016-2356
Phone (602) 531-7111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly@roadtotherapy.com AZ THERAPY LLC

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
87197CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creosote Counseling Marriage & Family Therapist CurrentSince Sep 21, 2025 Accepting new patients
Az Therapy LLC CurrentSince Aug 25, 2019 Accepting new patients

Locations

2633 E Indian School Rd
Ste 250
Phoenix, AZ 85016
Phone (424) 465-3058

6868 N 7th Ave
Ste 104
Phoenix, AZ 85013
Phone (602) 531-7111

Organizations & group practices 2

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1265898837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160703",
            "telephone_number": "602-531-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3114 E Claremont Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850162356",
            "country_code": "US",
            "telephone_number": "602-531-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAU",
        "first_name": "KELLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@roadtotherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email",
            "affiliationName": "AZ THERAPY LLC",
            "address_1": "2633 E Indian School Rd Ste 250",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850160703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.