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KARISA KLOSCAK LAC
NPI 1275944829
Counselor - Mental Health in Tempe, AZ

Active since May 16, 2014Opted out of Medicare · through Jan 10, 2028
2120 S MCCLINTOCK DR, SUITE 105, TEMPE, AZ 85282(480) 804-0326(480) 302-7884 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karisa Kloscak Lac NPPES

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

KARISA KLOSCAK LAC (NPI 1275944829) is an individual mental health provider in Tempe, Arizona, licensed in Arizona (LAC-14520) and active in the NPI registry since May 2014. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1275944829
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKARISA KLOSCAKCredential: LAC
Location Address2120 S MCCLINTOCK DR, SUITE 105Tempe, AZ 85282-2692
Mailing Address2120 S Mcclintock Dr, Suite 105Tempe, AZ 85282-2692 · (480) 804-0326 · Fax (480) 302-7884
Phone(480) 804-0326
Fax(480) 302-7884
Sole ProprietorNo
Enumeration DateMay 16, 2014
✔ NPI 1275944829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-14520
2120 S MCCLINTOCK DR, Tempe, AZ 85282
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karisa Kloscak Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JAMIE L HANCOCK LAC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
CHRISTIA J. LEWIS LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
GRANT RUSSEL NEES M.ED. IN COUNSELING
Counselor (Mental Health)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
GAYLON CALAHAN LMSW
Social Worker
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
THOMAS RUDERSTALLER LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, STE. 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
CRISCYNTHIA LINDSEY LMSW
Social Worker
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
MARISSA L MASCORRO PSYD
Psychologist (Clinical)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
TIFFANY A WILLIAMS LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karisa Kloscak's NPI number?

The NPI number for Karisa Kloscak is 1275944829. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Karisa Kloscak located?

Karisa Kloscak practices at 2120 S Mcclintock Dr Suite 105, Tempe, AZ 85282. The listed phone number is (480) 804-0326.

What is Karisa Kloscak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Karisa Kloscak enrolled in Medicare?

No. Karisa Kloscak has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Karisa Kloscak was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.