Individual provider Active NPI

Katelynn Wychulis

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1912451261
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23588 Issued in AZ
Practice address
1120 N 5TH Ave
Tucson, AZ 85705-7408
Phone
(520) 624-5600
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-23588 AZ Primary

Addresses

Primary practice location

1120 N 5TH Ave
Tucson, AZ 85705-7408

Mailing address

1120 N 5TH Ave
Tucson, AZ 85705-7408
Phone (520) 624-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251112002461 AZ Practitioner - Mental Health Counselor 5799276275 Reassigns benefits to 1 organization
I20251113002599 AZ Practitioner - Clinical Social Worker 5799276275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23588AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Aug 30, 2025 Accepting new patients
Casa de Los Ninos CurrentSince Apr 13, 2025 Accepting new patients
Casa de Los Ninos, Inc. CurrentSince Apr 13, 2025 Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

3501 E Speedway Blvd
Ste 351
Tucson, AZ 85716
Phone (520) 540-2723

Organizations & group practices 3

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1912451261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N 5TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057408",
            "telephone_number": "520-624-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 5TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057408",
            "telephone_number": "520-624-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHULIS",
        "first_name": "KATELYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.