Individual provider Active NPI

Christina McKelvy, LPC

  • Professional Counselor
  • Prescott, AZ
National Provider Identifier
1467945048
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17075 Issued in AZ
Practice address
315 W Goodwin St
Prescott, AZ 86303-4707
Phone
(928) 517-7200
NPI assigned
Jun 8, 2018
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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-17075 AZ
Professional Counselor 101YP2500X LPC-17075 AZ Primary

Addresses

Primary practice location

315 W Goodwin St
Prescott, AZ 86303-4707

Mailing address

PO Box 11380
Prescott, AZ 86304-1380
Phone (928) 517-7200

Other practice location 1

450 W Goodwin St Ste 103B
Prescott, AZ 86303-3781
Phone (928) 517-7200

Other practice location 2

510 E Moeller St
Prescott, AZ 86301-2612
Phone (928) 517-7200

Other identifiers 1

IdentifierTypeStateIssuer
396477MedicaidAZ

Other names 1

  • Christina Knowles Former name

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
I20250731000324 AZ Practitioner - Mental Health Counselor 4082121264 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 W Goodwin St
Prescott, AZ 86303-4707
Phone (928) 517-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17075AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colibri Counseling & Consulting, PLLC Professional CurrentSince Oct 1, 2021 Accepting new patients

Locations

240 S Montezuma St
Ste 201
Prescott, AZ 86303
Phone (928) 925-9377

315 W Goodwin St
Prescott, AZ 86303
Phone (928) 517-7200

450 W Goodwin St
Ste 103B
Prescott, AZ 86303
Phone (928) 517-7200

510 E Moeller St
Prescott, AZ 86301
Phone (928) 420-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1467945048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11380",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863041380",
            "telephone_number": "928-517-7200",
            "fax_number": "928-517-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W GOODWIN ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034707",
            "telephone_number": "928-517-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Goodwin St Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863033781",
            "country_code": "US",
            "telephone_number": "928-517-7200",
            "fax_number": "928-517-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 E Moeller St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863012612",
            "country_code": "US",
            "telephone_number": "928-517-7200",
            "fax_number": "928-517-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKELVY",
        "first_name": "CHRISTINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17075",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396477",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KNOWLES",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.