Individual provider Active NPI

Kelsey Sabrina Kuchynka, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1467150920
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-21130 Issued in AZ
Practice address
2111 E Highland Ave
Phoenix, AZ 85016-4741
Phone
(602) 456-1240
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-21130 AZ Primary

Addresses

Primary practice location

2111 E Highland Ave
Phoenix, AZ 85016-4741

Mailing address

3202 E Cloud Rd
Cave Creek, AZ 85331-5620
Phone (480) 335-5912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20250505000380 TX Practitioner - Mental Health Counselor 8123545175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-21130AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salt River Pima-Maricopa Indian Community CurrentSince Apr 16, 2025 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Apr 16, 2025 Accepting new patients

Locations

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1467150920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 E CLOUD RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315620",
            "telephone_number": "480-335-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E HIGHLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164741",
            "telephone_number": "602-456-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHYNKA",
        "first_name": "KELSEY",
        "middle_name": "SABRINA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.