Organization Active NPI

Pure Potential Mental Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1659162691
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PURE POTENTIAL MENTAL HEALTHCARE
Practice address
1735 E Fort Lowell Rd Ste 5
Tucson, AZ 85719-2358
Phone
(520) 230-5262
NPI assigned
May 16, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cassie Marie Moores Kristensen, PMHNP-BC, FNP-BCNPI 1205518461
Title
Founder
Phone
(415) 278-1574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1735 E Fort Lowell Rd Ste 5
Tucson, AZ 85719-2358

Mailing address

11201 N Tatum Blvd Ste 300
Phoenix, AZ 85028-6039
Phone (415) 278-1574

National Provider Directory

National Provider Directory

Locations

1735 E Fort Lowell Rd
Ste 5
Tucson, AZ 85719
Phone (520) 447-9796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1659162691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286039",
            "telephone_number": "415-278-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "520-230-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE POTENTIAL MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MOORES KRISTENSEN",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "415-278-1574",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.