Active NPI
Carole Jane Klein, M.ED.
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1316067549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-1993
- Practice address
- 2632 N 20TH St
Phoenix, AZ 85006-1339 - Phone
- (602) 809-7118
- Fax
- (480) 391-7580
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-1993 | AZ | Primary |
Addresses
Primary practice location
2632 N 20TH St
Phoenix, AZ 85006-1339
Mailing address
9353 N 115TH St
Scottsdale, AZ 85259-5849
Phone (602) 809-7118
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1993 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316067549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9353 N 115TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595849",
"telephone_number": "602-809-7118",
"fax_number": "480-391-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 N 20TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061339",
"telephone_number": "602-809-7118",
"fax_number": "480-391-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "CAROLE",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-1993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.