Emily Katharine Kline, LCDC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.165248 Issued in OH

Practice address

9006 W Harmont Dr
Peoria, AZ 85345-7848

Phone

(602) 551-0688

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1770085565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 W HARMONT DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457848",
            "telephone_number": "602-551-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 W HARMONT DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457848",
            "telephone_number": "602-551-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "EMILY",
        "middle_name": "KATHARINE",
        "credential": "LCDC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Peoria",
            "affiliation": "N",
            "address_1": "9006 W Harmont Dr",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853457848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tess Kisling, APRN, PMHNP-BC
• Christianna Klatt
• Jeffrey C Kleiman, DMD
• Brooks Klein, PT
• Emily Sue Klein, FNP-C
• Erik Klinker, PHARM.D.
• Fredric H Klopf, MD
• Jacob Kloser
• Tammy Kloser
• Drew Klug, M.D.

• Addiction (Substance Use Disorder) Counselor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.