Individual provider Active NPI

Kara L Van Buskirk, MC, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1952323883
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-11257 Issued in AZ
Practice address
10640 N 28TH Dr
Suite C-101
Phoenix, AZ 85029-4527
Phone
(602) 429-9972
Fax
(602) 429-9974
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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-11257 AZ Primary

Addresses

Primary practice location

10640 N 28TH Dr
Suite C-101
Phoenix, AZ 85029-4527

Mailing address

13388 W Chaparosa Way
Peoria, AZ 85383-7880
Phone (602) 380-3919

Other identifiers 1

IdentifierTypeStateIssuer
620302MedicaidAZ

Other names 1

  • Kara L Sherman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-11257AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enlighten Counseling and Wellness, LLC Professional CurrentSince Mar 19, 2023 Accepting new patients

Locations

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

Organizations & group practices 1

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1952323883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13388 W CHAPAROSA WAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837880",
            "telephone_number": "602-380-3919",
            "fax_number": "602-429-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR",
            "address_2": "SUITE C-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294527",
            "telephone_number": "602-429-9972",
            "fax_number": "602-429-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUSKIRK",
        "first_name": "KARA",
        "middle_name": "L",
        "credential": "MC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "SHERMAN",
            "middle_name": "L",
            "credential": "MC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.