Kim Courtney Kriesel, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-168961 Issued in AZ

Practice address

2435 E Southern Ave Ste 2
Tempe, AZ 85282-7628

Phone

(855) 483-7727

NPI assigned

Oct 23, 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

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1902372386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E CLOVEFIELD ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980634",
            "telephone_number": "480-319-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827628",
            "telephone_number": "855-483-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIESEL",
        "first_name": "KIM",
        "middle_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-168961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron D Krasnow, PHD
• Tracy Alison Krause, M.C., L.A.C., N.C.C.
• Robert Krauss, DO
• Deborah R Kret, MM, MT-BC, NMT
• Jennifer Lynn Kretchman, M.S., CCC-SLP
• Shraddha Krishnan
• Deborah Kristofferson, M.C.D., CCC-SLP
• Thomas J Krolick, MD
• Katie Jo Kroona, OD
• Andrew Bruce Krueger, ATC

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.