Active NPI
Christina Kelley, LPC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1598308835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0022517
- Practice address
- 4539 N 22ND St # 4222
Phoenix, AZ 85016-4639 - Phone
- (623) 624-9568
- NPI assigned
- Oct 18, 2019
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0022517 | CO | Primary |
| Professional Counselor | 101YP2500X | LPC-10924 | AZ |
Addresses
Primary practice location
4539 N 22ND St # 4222
Phoenix, AZ 85016-4639
Mailing address
4539 N 22ND St # 4222
Phoenix, AZ 85016-4639
Phone (623) 624-9568
Other practice location 1
110 16th St Ste 1460
Denver, CO 80202-5326
Phone (623) 624-9568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 598358 | Medicaid | AZ | |
| 135315 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 12, 2024 through Jun 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0022517 | CO | MD | Mental Health Counselor |
| LPC-10924 | AZ | MD | Professional Counselor |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Peoria, AZ
- NPI 1578261392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1598308835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4539 N 22ND ST # 4222",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "623-624-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST # 4222",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "623-624-9568"
}
],
"practiceLocations": [
{
"address_1": "110 16th St Ste 1460",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802025326",
"country_code": "US",
"telephone_number": "623-624-9568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "CHRISTINA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0022517",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-10924",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "598358",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135315",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.