Kelly C Donohue, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4897 Issued in AZ

Practice address

4665 E Chipmunk Holw
Rimrock, AZ 86335-5736

Phone

(508) 887-5636

NPI assigned

Jan 2, 2018

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Ever Human Therapy, PLLC

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1497447148

  MA

  Medicare reassignment NPD
• Behavioral Consultation Services, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1497358022
  NPD (past)
• Behavioral Consultation Services, Inc.

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1629432380
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1992212716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 E CHIPMUNK HOLW",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 E CHIPMUNK HOLW",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355736",
            "telephone_number": "508-887-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "KELLY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "4897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jo Buri-Baca, MA, LPC
• Victoria Bursell, SLP-A
• Copper Canyon Academy
• Copper Canyon Academy
• Rodney Kent Courtney, CEP
• Emoticare Rimrock LLC.
• Tamara Cy Garden, LPC
• Mark Gonchar, LASAC
• Clay Conrad Khin
• Lake Montezuma RTC, LLC (Sedona Sky Academy)

• Counseling Psychologist in Rimrock, AZ
• Providers in Rimrock, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.

Verify at the official NPI Registry.