MS. CAROL LYNN KETCHUM (NPI# 1952320335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952320335 |
| Entity Type | Individual |
| Full Name | MS. CAROL LYNN KETCHUM |
| Credential | LPC |
| Practice Address |
1 W Elliot Rd Suite 101 Tempe AZ 85284-1310 |
| Practice Telephone | 4806948979 |
| Mailing Telephone | 4806948979 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC11142 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1 W ELLIOT RD SUITE 101 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911724 | Deborah Lynn Lane | Counselor | 1 W Elliot Rd, Suite 106, Tempe, AZ 85284-1310 | 2005-09-09 |
| 1346802584 | Kendall Blair Church | Speech-Language Pathologist | 1 W Elliot Rd, Tempe, AZ 85284-1310 | 2019-07-08 |
| 1942860507 | Shelby Marie Moe | Speech-Language Pathologist | 1 W Elliot Rd, Tempe, AZ 85284-1310 | 2019-06-17 |
| 1316423254 | Megan Lant | Occupational Therapy Assistant | 1 W Elliot Rd, Tempe, AZ 85284-1310 | 2018-07-13 |
| 1184096885 | Candice Sennett | Physical Therapy Assistant | 1 W Elliot Rd, Tempe, AZ 85284-1310 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565759 | Ericka Valdez | Counselor | 1204 E Baseline Rd Ste 106, Tempe, AZ 85283-1447 | 2020-03-30 |
| 1457981003 | Naomi Torrez | Counselor | 2005 W 14th St Ste 134, Tempe, AZ 85281-6944 | 2020-01-23 |
| 1447813050 | Be Well Counseling, Pllc | Counselor | 2111 E Baseline Rd Ste C3, Tempe, AZ 85283-1521 | 2019-04-18 |
| 1013474212 | Cynthia Letitia Viera | Counselor | 123 E Erie Dr, Tempe, AZ 85282-3620 | 2019-02-23 |
| 1407323876 | Taproot Therapy Pllc | Counselor | 2111 E Baseline Rd Ste E1, Tempe, AZ 85283-1518 | 2018-10-24 |
| 1114402831 | Stephanie Brooke Miller | Counselor | 4435 S Rural Rd Ste 5, Tempe, AZ 85282-7059 | 2018-09-27 |
| 1700362688 | Roland Machlowski | Counselor | 2017 E Orion St, Tempe, AZ 85283-3324 | 2018-07-13 |
| 1356836373 | Life Navigation Counseling LLC | Counselor | 2101 E Broadway Rd Ste 10, Tempe, AZ 85282-1735 | 2018-06-22 |
| 1467943340 | Karen Lynn Ray | Counselor | 2111 E Baseline Rd Ste E3, Tempe, AZ 85283-1518 | 2018-05-25 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.