Tracey Jakea Kujabi, MH, CBT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10662322

Practice address

9422 E Broadway Rd
Mesa, AZ 85208-2575

Phone

(480) 680-4461

NPI assigned

Feb 21, 2023

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracey Jakea Blakey Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1750089462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 E BROADWAY RD APT A305",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082594",
            "telephone_number": "480-680-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082575",
            "telephone_number": "480-680-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJABI",
        "first_name": "TRACEY",
        "middle_name": "JAKEA",
        "credential": "MH, CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "10662322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tracey-kujabi.clientsecure.me.",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9422 E Broadway Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852082575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "BLAKEY",
            "middle_name": "JAKEA",
            "credential": "MH, CBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mike B Kuettel, HAD
• Rhonda Kuettel, HIS
• Danica Kugler, LPC
• Steven P Kuhn, DC, FIAMA
• Danielle Kuiper, CF-SLP
• Saroj Kulkarni, MD
• Stephanie Kulow, ATC
• Alan K Kulp, DMD
• Narong Kulvatunyou, MD
• Arun Kumar, M.D.

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.