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KM INTEGRATED HEALTH SERVICES LLC
NPI 1912670316
Counselor - Mental Health in Mesa, AZ

Active since July 30, 2021CLIA 03D2241484 · Waiver
3850 E BASELINE RD STE 110, MESA, AZ 85206(480) 687-7014(480) 687-7845 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 3, 2026, Jul 30, 2021 (2 updates tracked since 2021).

About Km Integrated Health Services Llc NPPES

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

KM INTEGRATED HEALTH SERVICES LLC (NPI 1912670316) is a healthcare organization registered as a mental health in Mesa, Arizona and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Kate Ndudi Ebea, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912670316
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKM INTEGRATED HEALTH SERVICES LLC
Location Address3850 E BASELINE RD STE 110Mesa, AZ 85206-4403
Mailing Address3850 E Baseline Rd Ste 110Mesa, AZ 85206-4403 · (480) 687-7014 · Fax (480) 687-7845
Phone(480) 687-7014
Fax(480) 687-7845
Organization SubpartNo
Authorized OfficialKate Ndudi EbeaAdministrator · (480) 270-1418
Enumeration DateJuly 30, 2021
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1912670316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3850 E BASELINE RD STE 110, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2241484

Km Integrated Health Services LLC · Mesa, AZ
Active · expires Oct 27, 2027
CLIA Number03D2241484
Laboratory TypeOutpatient Clinic
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorOlubukola Komolafe
Laboratory Phone(480) 687-7014
Laboratory LocationKm Integrated Health Services LLC3850 E Baseline Rd Ste 110, Mesa, AZ 85206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KM SOBER LIVING HOMES LLC
Counselor (Mental Health)
3850 E BASELINE RD STE 110
MESA, AZ 85206
Maricopa County (480) 687-7014

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 Km Integrated Health Services LLC's NPI number?

The NPI number for Km Integrated Health Services LLC is 1912670316. It was assigned to this organization in the NPPES registry on July 30, 2021.

Where is Km Integrated Health Services LLC located?

Km Integrated Health Services LLC is located at 3850 E Baseline Rd Ste 110, Mesa, AZ 85206. The listed phone number is (480) 687-7014.

What is Km Integrated Health Services LLC's specialty?

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

Does Km Integrated Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2241484) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Km Integrated Health Services LLC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.