Active NPI
Kelly Rochelle Kevershan
- Professional Counselor
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 24139
- Practice address
- 2950 N Dodge Blvd
Tucson, AZ 85716-2012 - Phone
- (520) 327-9863
- NPI assigned
- Sep 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 24139 | AZ | Primary |
Addresses
Primary practice location
2950 N Dodge Blvd
Tucson, AZ 85716-2012
Mailing address
951 W Orange Grove Rd Apt 34202
Tucson, AZ 85704-4034
Phone (520) 612-5870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1855 W Baseline Rd
Ste. 101
Mesa, AZ 85202-9000
1855 W Baseline Rd
Suite 101
Mesa, AZ 85202-9098
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24139 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Bridges, Inc | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Old Pueblo Community Services | Past | Accepting new patients |
Locations
1855 W Baseline Rd
Ste 101
Mesa, AZ 85202
2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999
250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312
2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863
3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335
Interoperability endpoints
- kelly.kevershanbht.p1@direct.cbridges.nextgenshare.com
Organizations & group practices 6
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Yuma, AZ
- NPI 1861722175
-
- Mental Illness Community Based Residential Treatment Facility
- Benson, AZ
- NPI 1255900189
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1427596196
-
- Adult Mental Health Clinic/Center
- Page, AZ
- NPI 1558095315
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1588348775
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1184866428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1699646182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 W ORANGE GROVE RD APT 34202",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044034",
"telephone_number": "520-612-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 N DODGE BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162012",
"telephone_number": "520-327-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEVERSHAN",
"first_name": "KELLY",
"middle_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "24139",
"primary": true
}
],
"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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.