Individual provider Active NPI

Kristine Rumzis, LPC

  • Mental Health Counselor
  • Show Low, AZ
National Provider Identifier
1508500448
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-16212 Issued in AZ
Practice address
500 W Old Linden Rd
Show Low, AZ 85901-4645
Phone
(928) 537-6200
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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-16212 AZ Primary
School Counselor 101YS0200X 4030045 AZ

Addresses

Primary practice location

500 W Old Linden Rd
Show Low, AZ 85901-4645

Mailing address

6680 Bandido Way
Show Low, AZ 85901-4017
Phone (928) 242-1382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-16212AZMDMental Health Counselor
4030045AZMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Emporium CurrentSince Apr 20, 2025 Accepting new patients

Locations

145 N White Mountain Rd
Show Low, AZ 85901

145 N White Mountain Rd
Ste H
Show Low, AZ 85901

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1508500448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 BANDIDO WAY",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014017",
            "telephone_number": "928-242-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W OLD LINDEN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014645",
            "telephone_number": "928-537-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMZIS",
        "first_name": "KRISTINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16212",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AZ",
            "license": "4030045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.