Kimberly Sue Buck, MA LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12627 Issued in AZ

Practice address

6402 E Superstition Springs Blvd
208
Mesa, AZ 85206-4392

Phone

(480) 668-8301

Fax

(480) 558-3020

NPI assigned

May 13, 2010

Last updated

Feb 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Family Strategies LLC

  dba Family Strategies & Coaching

  • Professional Counselor
  • Mesa, AZ
  • NPI 1811330210
  NPD (past)

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1437477536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD",
            "address_2": "208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064392",
            "telephone_number": "480-668-8301",
            "fax_number": "480-558-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD",
            "address_2": "208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064392",
            "telephone_number": "480-668-8301",
            "fax_number": "480-558-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "MA LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "12627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bsedmund Corp. (Edmund Clinic)
• BSP Associates, LLC
• BTCS LLC (Bridge to Care Solutions)
• Jasmyn Alana-Jerri Buchanan, PA-C
• Wes Buchanan
• Kelsey Jane Buckler
• Douglas R Buckley, DDS
• Klayton Buckley, CCP
• Rachael Buckley, NP
• Michael Arthur Buckmire, MD

• Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.