Individual provider Active NPI

Kelly Rochelle Kevershan

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1699646182
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
24139 Issued in AZ
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

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
24139AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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. CurrentSince Oct 1, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.