Individual provider Active NPI

Krista Soste, LPC10946

  • Mental Health Counselor
  • Peoria, AZ
National Provider Identifier
1700955036
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC10946 Issued in AZ
Practice address
13660 N 94TH Dr
Suite C3
Peoria, AZ 85381-4836
Phone
(623) 487-7763
Fax
(623) 486-8276
NPI assigned
Nov 8, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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 LPC10946 AZ Primary

Addresses

Primary practice location

13660 N 94TH Dr
Suite C3
Peoria, AZ 85381-4836

Mailing address

13660 N. 94TH Drive
Suite C3
Peoria, AZ 85381
Phone (623) 487-7763

Other identifiers 1

IdentifierTypeStateIssuer
LPC10946OtherAZTHERAPIST

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
I20240320003275 AZ Practitioner - Mental Health Counselor 9234576604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Desert View Counseling and Consulting IncGroup PAC ID 4981644325, 17 clinicians

Practice addresses (Care Compare)

13260 N 94TH Dr
Suite 100
Peoria, AZ 85381-4242
Phone (623) 487-7763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC10946AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert View Counseling and Consulting, Inc. Mental Health CurrentSince Jan 21, 2024 Accepting new patients

Locations

13260 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 487-7763

13660 N 94th Dr
Ste C3
Peoria, AZ 85381
Phone (623) 487-7763

19820 N 7th St
Ste 140
Phoenix, AZ 85024
Phone (623) 487-7763

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1700955036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N. 94TH DRIVE",
            "address_2": "SUITE C3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-487-7763",
            "fax_number": "623-486-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "address_2": "SUITE C3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-487-7763",
            "fax_number": "623-486-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTE",
        "first_name": "KRISTA",
        "name_prefix": "Ms.",
        "credential": "LPC10946",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC10946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "LPC10946",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.