KELLY ZARAGOZA LPC
NPI 1417232372
Counselor - Mental Health in Phoenix, AZ

Active since October 11, 2011Opted out of Medicare · through Sep 26, 2027
3821 N 15TH AVE, PHOENIX, AZ 85015(602) 370-2800 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2020, Dec 10, 2020 (2 updates tracked since 2020).

About Kelly Zaragoza Lpc NPPES

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

KELLY ZARAGOZA LPC (NPI 1417232372) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-14372) and active in the NPI registry since October 2011. She has opted out of Medicare through September 26, 2027 and remains eligible to order and refer, maintains a secondary practice location in Phoenix, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417232372
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY ZARAGOZACredential: LPC
Location Address3821 N 15TH AVEPhoenix, AZ 85015-5545
Mailing Address3821 N 15th AvePhoenix, AZ 85015-5545 · (602) 370-2800
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 11, 2011
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1417232372 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 · LPC-14372
3821 N 15TH AVE, Phoenix, AZ 85015

Secondary Practice Location 1

Location 1300 W Clarendon Ave, Suite 470Phoenix, AZ 85013-3420 · Phone (602) 370-2800

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly Zaragoza Lpc 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 September 26, 2025 through September 26, 2027.

Opt-Out Effective DateSeptember 26, 2025
Opt-Out In Effect ThroughSeptember 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
3821 N 15TH AVE
PHOENIX, AZ 85015
Marriage & Family Therapist
3821 N 15TH AVE
PHOENIX, AZ 85015
Counselor (Mental Health)
3821 N 15TH AVE
PHOENIX, AZ 85015
Psychologist
3821 N 15TH AVE
PHOENIX, AZ 85015
Counselor (Mental Health)
3821 N 15TH AVE
PHOENIX, AZ 85015
Counselor (Mental Health)
3821 N 15TH AVE
PHOENIX, AZ 85015
In Home Supportive Care
3821 N 15TH AVE
PHOENIX, AZ 85015
Counselor (Mental Health)
3821 N 15TH AVE
PHOENIX, AZ 85015

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 Kelly Zaragoza's NPI number?

The NPI number for Kelly Zaragoza is 1417232372. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Kelly Zaragoza located?

Kelly Zaragoza practices at 3821 N 15th Ave, Phoenix, AZ 85015. The listed phone number is (602) 370-2800.

What is Kelly Zaragoza's specialty?

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

Is Kelly Zaragoza enrolled in Medicare?

No. Kelly Zaragoza has opted out of Medicare through September 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelly Zaragoza accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kelly Zaragoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Zaragoza was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.