Active NPI
Kirsten Yaksich
- Mental Health Counselor
- Surprise, AZ
National Provider Identifier
1922915495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-23314
- Practice address
- 14800 W Mountain View Blvd Ste 240
Surprise, AZ 85374-2702 - Phone
- (623) 363-8483
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-23314 | AZ | Primary |
Addresses
Primary practice location
14800 W Mountain View Blvd Ste 240
Surprise, AZ 85374-2702
Mailing address
13937 N 147TH Dr
Surprise, AZ 85379-7441
Phone (623) 363-8483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1922915495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 N 147TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853797441",
"telephone_number": "623-363-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14800 W MOUNTAIN VIEW BLVD STE 240",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742702",
"telephone_number": "623-363-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKSICH",
"first_name": "KIRSTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-23314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.