Individual provider Active NPI

Kae Rehma

  • Mental Health Counselor
  • Page, AZ
National Provider Identifier
1598202939
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-16469 Issued in AZ
Practice address
463 S. Lake Powell Blvd
Page, AZ 86040-0790
Phone
(928) 645-5113
Fax
(928) 645-3254
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 LPC-16469 AZ Primary

Addresses

Primary practice location

463 S. Lake Powell Blvd
Page, AZ 86040-0790

Mailing address

PO Box 790
Page, AZ 86040-0790
Phone (928) 645-5113

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
I20251219000445 AZ Practitioner - Mental Health Counselor 3173018991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-16469AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

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, 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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1598202939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400790",
            "telephone_number": "928-645-5113",
            "fax_number": "928-645-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 S. LAKE POWELL BLVD",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400790",
            "telephone_number": "928-645-5113",
            "fax_number": "928-645-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMA",
        "first_name": "KAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Page, AZ

Sources for this page

Verify at the official NPI Registry.