Provider Demographics
NPI:1578660825
Name:POPKEY, KIMBERLY ANNE (MA, LPC, CEDS, SEP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANNE
Last Name:POPKEY
Suffix:
Gender:F
Credentials:MA, LPC, CEDS, SEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 E BUTHERUS DR STE 5
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2523
Mailing Address - Country:US
Mailing Address - Phone:480-390-1409
Mailing Address - Fax:480-383-6825
Practice Address - Street 1:8160 E BUTHERUS DR STE 5
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2523
Practice Address - Country:US
Practice Address - Phone:480-390-1409
Practice Address - Fax:480-383-6825
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-2248101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health