Individual provider Active NPI

Katherine Kincaid, LPC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1689094575
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14569 Issued in AZ
Practice address
2852 W Calle Arandas
Tucson, AZ 85745-2533
Phone
(260) 312-1694
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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 14569 AZ Primary

Addresses

Primary practice location

2852 W Calle Arandas
Tucson, AZ 85745-2533

Mailing address

2852 W Calle Arandas
Tucson, AZ 85745-2533
Phone (260) 312-1694

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
I20240223002701 AZ Practitioner - Other (Non-Physician) 7113318361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14569AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Psychotherapy Current Accepting new patients
Tucson Counseling Associates, LLC CurrentSince Jan 1, 2024 Accepting new patients
Tucson Counseling Associates, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

6602 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 214-0818

125 E Mabel St
Tucson, AZ 85705
Phone (520) 214-0818

Interoperability endpoints

  • Direct secure messaging: katherine.kincaidlpcbhp.p1@direct.cbridges.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1689094575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 W CALLE ARANDAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452533",
            "telephone_number": "260-312-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 W CALLE ARANDAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452533",
            "telephone_number": "260-312-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "14569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.