Active NPI
Krystine Garcia, LPC
- Professional Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC23446
- Practice address
- 4138 W Carter Rd
Phoenix, AZ 85041-6084 - Phone
- (480) 430-1188
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC23446 | AZ | Primary |
Addresses
Primary practice location
4138 W Carter Rd
Phoenix, AZ 85041-6084
Mailing address
4138 W Carter Rd
Phoenix, AZ 85041-6084
Other practice location 1
4121 E Valley Auto Dr
Mesa, AZ 85206-4631
Phone (602) 285-9696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3839 N 3Rd St
Suite 104
Phoenix, AZ 85012-2068
Phone (928) 985-1495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC23446 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Northlight Counseling Associates Inc | Current | Accepting new patients |
Locations
930 N Switzer Canyon Dr
Ste 104
Flagstaff, AZ 86001
Phone (480) 903-5550
4121 E Valley Auto Dr
Ste 122
Mesa, AZ 85206
Phone (602) 285-9696
4121 E Valley Auto Dr
Mesa, AZ 85206
Phone (480) 474-4173
3839 N 3rd St
Ste 101104
Phoenix, AZ 85012
Phone (602) 285-9696
3839 N 3rd St
Ste 101
Phoenix, AZ 85012
Phone (480) 903-5550
3839 N 3rd St
Ste 104
Phoenix, AZ 85012
Phone (480) 903-5550
11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745
Interoperability endpoints
- krystine.garcia.2@28621.direct.athenahealth.com
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.
-
- Clinical Psychologist
- Mesa, AZ
- NPI 1942070370
-
- Mental Health Counselor
- Mesa, AZ
- NPI 1912943903
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1982357919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 W CARTER RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 W CARTER RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416084",
"telephone_number": "480-430-1188"
}
],
"practiceLocations": [
{
"address_1": "4121 E Valley Auto Dr",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852064631",
"country_code": "US",
"telephone_number": "602-285-9696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "KRYSTINE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC23446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.