KIMBERLY JEAN WAX
NPI 1528408630
Counselor in Phoenix, AZ

Q: What is Kimberly Wax's NPI number?

The NPI number for Kimberly Wax is 1528408630. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Q: What is Kimberly Wax's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wax was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment

750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022(602) 230-7373(602) 218-6383 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Jean Wax NPPES

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

KIMBERLY JEAN WAX (NPI 1528408630) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LPC-20059) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1528408630

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKIMBERLY JEAN WAX

Location Address750 E THUNDERBIRD RD STE 1-3Phoenix, AZ 85022-5306

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 473-2928 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 218-6383

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 3, 2013

Last NPPES UpdateDecember 7, 2023

NPPES CertifiedDecember 7, 2023

✔ NPI 1528408630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LPC-20059

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

750 E THUNDERBIRD RD STE 1-3, Phoenix, AZ 85022

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Secondary Practice Locations 2

Location 15701 W Talavi Blvd, Suite 180Glendale, AZ 85306-1886 · Phone (623) 486-8202 · Fax (623) 486-2739

Location 22204 S Dobson Rd Ste 201Mesa, AZ 85202-6457 · Phone (602) 230-7373 · Fax (480) 629-8574

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Kimberly Jean Wax 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 ID6406207505

PECOS Enrollment IDI20240112000846

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.

JULIE SEIFERT LPC

Counselor (Professional)