Individual provider Active NPI

Kearalyn Oosthuizen

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1659215804
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1845 S Dobson Rd Ste 101
Mesa, AZ 85202-5662
Phone
(480) 229-6053
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 Primary

Addresses

Primary practice location

1845 S Dobson Rd Ste 101
Mesa, AZ 85202-5662

Mailing address

1907 E Riviera Dr
Tempe, AZ 85282-5817

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
I20260530000071 AZ Practitioner - Mental Health Counselor 0345710372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind and Soul Counseling Services LLCGroup PAC ID 4486094083, 3 clinicians

Practice addresses (Care Compare)

1845 S Dobson Rd
Suite 101
Mesa, AZ 85202-5662
Phone (480) 229-6053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1659215804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 E RIVIERA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025662",
            "telephone_number": "480-229-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOSTHUIZEN",
        "first_name": "KEARALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.