MEDICARE: MRS. KIMBERLY ANNE POPKEY MA, LPC, CEDS, SEP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC-2248	AZ
2	101YP2500X	Professional Counselor	LPC-2248	AZ

General Provider Information

NPI Number	:	1578660825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY ANNE POPKEY MA, LPC, CEDS, SEP

Provider Business Mailing Address
First Line	:	8160 E BUTHERUS DR STE 5
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-2523
Country	:	US
Telephone Number	:	480-390-1409
Fax Number	:	480-383-6825

Provider Business Practice Location Address
First Line	:	8160 E BUTHERUS DR STE 5
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-2523
Country	:	US
Telephone Number	:	480-390-1409
Fax Number	:	480-383-6825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/06/2022

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