Organization Active NPI

KM Integrated Health Services LLC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1912670316
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KM INTEGRATED HEALTH SERVICES LLC
Practice address
3850 E Baseline Rd Ste 110
Mesa, AZ 85206-4403
Phone
(480) 687-7014
Fax
(480) 687-7845
NPI assigned
Jul 30, 2021
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Kate Ndudi Ebea
Title
Administrator
Phone
(480) 270-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3850 E Baseline Rd Ste 110
Mesa, AZ 85206-4403

Mailing address

3850 E Baseline Rd Ste 110
Mesa, AZ 85206-4403
Phone (480) 687-7014

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2241484KM Integrated Health Services LLC3850 E Baseline Rd Ste 110, Mesa, AZ 85206Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1912670316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 E BASELINE RD STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064403",
            "telephone_number": "480-687-7014",
            "fax_number": "480-687-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E BASELINE RD STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064403",
            "telephone_number": "480-687-7014",
            "fax_number": "480-687-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM INTEGRATED HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "EBEA",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "NDUDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-270-1418"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.