Healthcare Provider Details

I. General information

NPI: 1710814215
Provider Name (Legal Business Name): KARI THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 S POWER RD STE 110
MESA AZ
85209-6696
US

IV. Provider business mailing address

1509 E AZALEA DR
GILBERT AZ
85298-6827
US

V. Phone/Fax

Practice location:
  • Phone: 480-906-2240
  • Fax:
Mailing address:
  • Phone: 480-650-6977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: