Individual provider Active NPI

Greg Kiper, MA, LMHCA, CDP

  • Mental Health Counselor
  • Sedona, AZ
National Provider Identifier
1851769202
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-21084 Issued in AZ
Practice address
100 Moore Dr
Sedona, AZ 86336-6342
Phone
(425) 766-0660
Fax
(425) 888-6727
NPI assigned
Sep 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-21084 AZ Primary
Professional Counselor 101YP2500X
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60682694 WA
Mental Health Counselor 101YM0800X MC 60675660 WA

Addresses

Primary practice location

100 Moore Dr
Sedona, AZ 86336-6342

Mailing address

100 Moore Dr
Sedona, AZ 86336-6342
Phone (425) 888-6551

Other practice location 1

9571 Ethan Wade Way SE
Snoqualmie, WA 98065
Phone (425) 888-6551

Other identifiers 1

IdentifierTypeStateIssuer
2074701MedicaidWA

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
I20240422002462 AZ Practitioner - Mental Health Counselor 5294174041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Moore Dr
Sedona, AZ 86336-6342
Phone (425) 260-1767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60682694WAMDAddiction (Substance Use Disorder) Counselor
LPC-21084AZMDMental Health Counselor
MC 60675660WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solid Insight LLC Mental Health CurrentSince Jan 22, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1851769202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOORE DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863366342",
            "telephone_number": "425-888-6551",
            "fax_number": "425-888-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOORE DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863366342",
            "telephone_number": "425-766-0660",
            "fax_number": "425-888-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9571 Ethan Wade Way SE",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "98065",
            "country_code": "US",
            "telephone_number": "425-888-6551",
            "fax_number": "425-888-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPER",
        "first_name": "GREG",
        "credential": "MA, LMHCA, CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-21084",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60682694",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60675660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074701",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.