Individual provider Active NPI

Judith Joelle Kim, LPC

  • Counselor
  • Tempe, AZ
National Provider Identifier
1871216028
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-23608 Issued in AZ
Practice address
2034 E Southern Ave Ste D
Tempe, AZ 85282-7511
Phone
(480) 923-6200
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-23608 AZ Primary

Addresses

Primary practice location

2034 E Southern Ave Ste D
Tempe, AZ 85282-7511

Mailing address

10810 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6056
Phone (704) 340-3568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20250404002411 AZ Practitioner - Mental Health Counselor 5799209342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alevea Mental Health LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2034 E Southern Ave
Ste D
Tempe, AZ 85282
Phone (480) 779-8319

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCDDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1871216028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286056",
            "telephone_number": "704-340-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827511",
            "telephone_number": "480-923-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUDITH",
        "middle_name": "JOELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-23608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.