KIMBERLY VAN WUFFEN LPC
NPI 1114673837
Counselor - Professional in Phoenix, AZ

Q: What is Kimberly Van Wuffen's NPI number?

The NPI number for Kimberly Van Wuffen is 1114673837. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is Kimberly Van Wuffen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since February 22, 2022PECOS Enrolled

4435 E CHANDLER BLVD STE 200, PHOENIX, AZ 85048(833) 351-8255 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2025, Feb 22, 2022 (2 updates tracked since 2022).

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About Kimberly Van Wuffen Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY VAN WUFFEN LPC (NPI 1114673837) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-20531) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114673837

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY VAN WUFFENCredential: LPC

Location Address4435 E CHANDLER BLVD STE 200Phoenix, AZ 85048-7651

Mailing Address109 W 27th St Rm 5sNew York, NY 10001-6208 · (833) 351-8255

Phone(833) 351-8255

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 22, 2022

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1114673837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-20531

4435 E CHANDLER BLVD STE 200, Phoenix, AZ 85048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Van Wuffen Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012435985

PECOS Enrollment IDI20251106003221

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kimberly Van Wuffen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alaniz Counseling And Behavioral Center, P.C.

826 mi

Professional

5522 LONE STAR PKWY STE 303
San Antonio, TX 78253

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Alaniz Counseling And Behavioral Center PC
369 clinicians in this Medicare group

NPI 1811288731 (210) 614-4990

Mccd Fl Psychiatry Services PA

1,790 mi

Psychiatry

1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207

Reassigned Medicare billing, Arizona enrollment
45 clinicians in this Medicare group

NPI 1659003457 (833) 351-8255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIND AZ, PC

Psychiatry & Neurology (Psychiatry)