Active NPI
Vincent Shumpert Kinsey, LPC-11606
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1609952506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-11606
- Practice address
- 7141 N 51St Ave Ste D3
Glendale, AZ 85301-2673 - Phone
- (623) 433-8875
- Fax
- (623) 433-8985
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-11606 | AZ | Primary |
Addresses
Primary practice location
7141 N 51St Ave Ste D3
Glendale, AZ 85301-2673
Mailing address
11805 W Charter Oak Rd
El Mirage, AZ 85335-3307
Phone (623) 205-0208
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-11606 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Valley Psychological Services, LLC | Past | Accepting new patients | |
| Desert Sage Health PLLC | Past | Accepting new patients | |
| Clearview Counseling, LLC | Past | Accepting new patients |
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.
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- NPI 1891201521
-
dba West Valley Family Development Center
- Psychologist
- Litchfield Park, AZ
- NPI 1457528739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1609952506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11805 W CHARTER OAK RD",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853353307",
"telephone_number": "623-205-0208",
"fax_number": "623-433-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 N 51ST AVE STE D3",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012673",
"telephone_number": "623-433-8875",
"fax_number": "623-433-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSEY",
"first_name": "VINCENT",
"middle_name": "SHUMPERT",
"name_prefix": "Mr.",
"credential": "LPC-11606",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-11606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.