Active NPI
KM Sober Living Homes LLC
- Mental Health Counselor
- Mesa, AZ
National Provider Identifier
1457064693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KM SOBER LIVING HOMES LLC
- Practice address
- 3850 E Baseline Rd Ste 110
Mesa, AZ 85206-4403 - Phone
- (480) 687-7014
- Fax
- (480) 687-7845
- NPI assigned
- Jan 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Ebea
- Title
- Administrator
- Phone
- (480) 270-1418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3850 E Baseline Rd Ste 110
Mesa, AZ 85206-4403
Mailing address
3850 E Baseline Rd Ste 110
Mesa, AZ 85206-4403
Phone (480) 687-7014
National Provider Directory
National Provider DirectoryLocations
3850 E Baseline Rd
Ste 110
Mesa, AZ 85206
Phone (480) 687-7014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1457064693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 E BASELINE RD STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852064403",
"telephone_number": "480-687-7014",
"fax_number": "480-687-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 E BASELINE RD STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852064403",
"telephone_number": "480-687-7014",
"fax_number": "480-687-7845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KM SOBER LIVING HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "EBEA",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-270-1418"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.