KARLY KINZIE LPC
NPI 1356040885
Counselor - Professional in Phoenix, AZ

Q: What is Karly Kinzie's NPI number?

The NPI number for Karly Kinzie is 1356040885. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Q: What is Karly Kinzie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karly Kinzie was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since February 23, 2023PECOS EnrolledAccepts Medicare Assignment

3033 N CENTRAL AVE STE 700, PHOENIX, AZ 85012(602) 230-7373(602) 257-8029 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Feb 23, 2023 (2 updates tracked since 2023).

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About Karly Kinzie Lpc NPPES

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

KARLY KINZIE LPC (NPI 1356040885) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-24283) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356040885

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKARLY KINZIECredential: LPC

Location Address3033 N CENTRAL AVE STE 700Phoenix, AZ 85012-2806

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 257-8029

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 23, 2023

Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1356040885 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-24283

3033 N CENTRAL AVE STE 700, Phoenix, AZ 85012

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Secondary Practice Location 1

Location 13330 N 2nd St Ste 601Phoenix, AZ 85012-2395 · Phone (602) 230-7373 · Fax (602) 230-5105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karly Kinzie Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719478965

PECOS Enrollment IDI20251114002864

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.

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.

FERNANDA BARRAGAN GARCIA LMSW

Social Worker (Clinical)