Laura Kobar, MS, MC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-20760 Issued in AZ

Practice address

19732 S 191St St
Queen Creek, AZ 85142-6893

Phone

(480) 326-2820

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sea Glass Mental Health Inc

  • Professional Counselor
  • Scottsdale, AZ
  • NPI 1417688821

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1912638651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19732 S 191ST ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426893",
            "telephone_number": "480-326-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19732 S 191ST ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426893",
            "telephone_number": "480-326-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAR",
        "first_name": "LAURA",
        "credential": "MS, MC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "MHC-969-0",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC911",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynne Kiser, NNP
• Melissa Kivisto, FNP
• Michelle Marie Klym, B.S., SLP-A
• Meghan Knife, PHARM.D.
• Alfred Knight
• Stephanie Deborah Kotsur, NP
• Kellie M Kotwicki, MS, BCBA, LBA
• Cory M Kovac, PA-C
• Madison Christine Kowalski, PA-C
• Mindy Kraus, M.ED, BCBA, LBA

• Professional Counselor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.