Individual provider Active NPI

Kaila Suzanne Moles, MA

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1497228654
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-22324 Issued in AZ
Practice address
1735 E Fort Lowell Rd Ste 6
Tucson, AZ 85719-2358
Phone
(520) 329-2704
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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
Mental Health Counselor 101YM0800X LPC-22324 AZ Primary

Addresses

Primary practice location

1735 E Fort Lowell Rd Ste 6
Tucson, AZ 85719-2358

Mailing address

1735 E Fort Lowell Rd Ste 6
Tucson, AZ 85719-2358
Phone (520) 329-2704

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
I20240528002356 AZ Practitioner - Mental Health Counselor 6103268131 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

1735 E Fort Lowell Rd
Suite 6
Tucson, AZ 85719-2358
Phone (520) 329-2704

7750 E Broadway Blvd
Suite A100
Tucson, AZ 85710-3901
Phone (520) 327-1529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation Current Accepting new patients
Easter Seals Blake Foundation CurrentSince Sep 26, 2025 Accepting new patients
Easter Seals Blake Foundation CurrentSince Sep 26, 2025 Accepting new patients

Locations

6306 N 7th St
Phoenix, AZ 85014
Phone (602) 279-5801

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

Organizations & group practices 3

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1497228654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "520-329-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "520-329-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLES",
        "first_name": "KAILA",
        "middle_name": "SUZANNE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.