Individual provider Active NPI

Kai M Kline, MC, LPC, NCC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1831762244
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-22622 Issued in AZ
Practice address
8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone
(480) 210-7266
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-22622 AZ
Mental Health Counselor 101YM0800X LPC-22622 AZ Primary

Addresses

Primary practice location

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541

Mailing address

14880 W Aster Dr
Surprise, AZ 85379-5906
Phone (610) 417-7601

Other practice location 1

625 N Plaza Dr
Apache Junction, AZ 85120-5502
Phone (833) 431-4449

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
I20240109001029 AZ Practitioner - Mental Health Counselor 1052762697 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22622AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. CurrentSince Jan 17, 2024 Accepting new patients
FKL Enterprises, LLC CurrentSince Jan 1, 2024 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients
Horizon Health and Wellness, Inc. Professional Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

3377 S Price Rd
Ste 105
Chandler, AZ 85248
Phone (480) 674-9220

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

2222 W Pinnacle Peak Rd
Ste 220
Phoenix, AZ 85027
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

Organizations & group practices 7

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1831762244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14880 W ASTER DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795906",
            "telephone_number": "610-417-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-210-7266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851205502",
            "country_code": "US",
            "telephone_number": "833-431-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "KAI",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22622",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.