Individual provider Active NPI

Kiesha Collins, MA, CMHC, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1831802693
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23307 Issued in AZ
Practice address
1110 W Elliot Rd # 1257
Tempe, AZ 85284-1107
Phone
(801) 784-8238
NPI assigned
Dec 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-23307 AZ Primary
Professional Counselor 101YP2500X LPC.0019780 CO
Professional Counselor 101YP2500X 12665008-6004 UT
Professional Counselor 101YP2500X LC17312 MD

Addresses

Primary practice location

1110 W Elliot Rd # 1257
Tempe, AZ 85284-1107

Mailing address

1110 W Elliot Rd # 1257
Tempe, AZ 85284-1107
Phone (801) 784-8238

Other practice location 1

213 Olde Beau Ct
Churchville, MD 21028-1235
Phone (801) 784-8238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-23307AZMDProfessional Counselor
LPC.0019780COMDProfessional Counselor
LC17312MDMDProfessional Counselor
12665008-6004UTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1831802693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W ELLIOT RD # 1257",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841107",
            "telephone_number": "801-784-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W ELLIOT RD # 1257",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841107",
            "telephone_number": "801-784-8238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Olde Beau Ct",
            "address_purpose": "LOCATION",
            "city": "Churchville",
            "state": "MD",
            "postal_code": "210281235",
            "country_code": "US",
            "telephone_number": "801-784-8238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KIESHA",
        "credential": "MA, CMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23307",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019780",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "12665008-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC17312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.