Individual provider Active NPI

Andrea Khalife

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1336806199
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-21882 Issued in AZ
Practice address
2435 E Southern Ave Ste 6
Tempe, AZ 85282-7628
Phone
(602) 845-9226
NPI assigned
Nov 29, 2021
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-21882 AZ Primary
Mental Health Counselor 101YM0800X LAC-19183 AZ

Addresses

Primary practice location

2435 E Southern Ave Ste 6
Tempe, AZ 85282-7628

Mailing address

16465 E Ashbrook Dr Unit B
Fountain Hills, AZ 85268-2008
Phone (602) 845-9226

Other practice location 1

2340 W Ray Rd Ste 2
Chandler, AZ 85224-3632
Phone (602) 845-9226

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
I20240315002620 AZ Practitioner - Mental Health Counselor 7012353766 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
Core Balance Counseling LLCGroup PAC ID 1951746650, 5 clinicians

Practice addresses (Care Compare)

2340 W Ray Rd
Suite 2
Chandler, AZ 85224-3632
Phone (480) 687-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-19183AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Az Counselors LLC Mental Health CurrentSince Jul 31, 2023 Accepting new patients
Gilbert Counselors, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Core Balance Counseling, LLC Mental Health CurrentSince Feb 3, 2024 Accepting new patients
Rooted in You LLC Mental Health Past Accepting new patients

Locations

2340 W Ray Rd
Ste 2
Chandler, AZ 85224
Phone (480) 687-4988

1425 W Elliot Rd
Ste 201
Gilbert, AZ 85233
Phone (480) 223-0223

2509 S Power Rd
Ste 110
Mesa, AZ 85209
Phone (480) 912-4691

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1336806199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16465 E ASHBROOK DR UNIT B",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682008",
            "telephone_number": "602-845-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE STE 6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827628",
            "telephone_number": "602-845-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 W Ray Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852243632",
            "country_code": "US",
            "telephone_number": "602-845-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIFE",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-21882",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-19183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.